Tuberc Respir Dis.
2012 Nov;73(5):278-281. 10.4046/trd.2012.73.5.278.
A Case of Tracheobronchial Aspergillosis Resolved Spontaneously in an Immunocompetent Host
- Affiliations
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- 1Department of Internal Medicine, St. Paul's Hospital, Seoul, Korea. mdlee@catholic.ac.kr
- 2Department of Internal Medicine, Seoul St. Mary's Hospital, Seoul, Korea.
- 3Department of Internal Medicine, St. Vincent's Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea.
- KMID: 2050681
- DOI: http://doi.org/10.4046/trd.2012.73.5.278
Abstract
- A 47-year old man visited our hospital because of purulent sputum for 3 months. Chest X-ray showed destruction of both the upper lungs, and bronchoscopy revealed inflammatory change with whitish plaque on the left main bronchus through upper division of the left upper lobe. Tracheobronchial aspergillosis (TBA) was finally diagnosed as a result of histologic and microbiologic examination. However, he went abroad without medication before the diagnosis was made and visited again 10 months later. Follow-up bronchoscopy showed complete regression of the previously noted endobronchial lesion. We describe this case to consider the role of antifungal treatment in immunocompetent hosts, as well as to discuss a rare condition; TBA resolved spontaneously.
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