A Case of Pulmonary Aspergillosis Presenting Pulmonary Bulla and Eosinophilic Pneumonia
A rare case of a 25-year-old man with pulmonary aspergillosis is reported. Pulmonary bulla and eosinophilic pneumonia in the right upper lobe were diagnosed by chest roentgenogram and trasbronchial lung biopsy. Because the patient developed infective bullae during steroid therapy, we performed trans...
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| Published in | Nihon Kyōbu Shikkan Gakkai zasshi Vol. 29; no. 7; pp. 904 - 908 |
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| Main Authors | , , , , , , , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
Japan
The Japanese Respiratory Society
01.07.1991
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0301-1542 1883-471X |
| DOI | 10.11389/jjrs1963.29.904 |
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| Abstract | A rare case of a 25-year-old man with pulmonary aspergillosis is reported. Pulmonary bulla and eosinophilic pneumonia in the right upper lobe were diagnosed by chest roentgenogram and trasbronchial lung biopsy. Because the patient developed infective bullae during steroid therapy, we performed transcutaneous thoracic drainage and right upper lobectomy. The resected lung tissue contained numerous hyphae of Aspergillus. Around the hyphae of Aspergillus, granulomatous reatction and eosinophilic infiltration were observed. Antibodies against Aspergillus were detected in the serum of the patient. The number of peripheral blood eosinophils decreased after right upper lobecotmy. These findings suggest that pulmonary bullae and eosinophilic pneumonia may be a rare manifestation of pulmonary aspergillosis. |
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| AbstractList | A rare case of a 25-year-old man with pulmonary aspergillosis is reported. Pulmonary bulla and eosinophilic pneumonia in the right upper lobe were diagnosed by chest roentgenogram and transbronchial lung biopsy. Because the patient developed infective bullae during steroid therapy, we performed transcutaneous thoracic drainage and right upper lobectomy. The resected lung tissue contained numerous hyphae of Aspergillus. Around the hyphae of Aspergillus, granulomatous reaction and eosinophilic infiltration were observed. Antibodies against Aspergillus were detected in the serum of the patient. The number of peripheral blood eosinophils decreased after right upper lobectomy. These findings suggest that pulmonary bullae and eosinophilic pneumonia may be a rare manifestation of pulmonary aspergillosis. A rare case of a 25-year-old man with pulmonary aspergillosis is reported. Pulmonary bulla and eosinophilic pneumonia in the right upper lobe were diagnosed by chest roentgenogram and transbronchial lung biopsy. Because the patient developed infective bullae during steroid therapy, we performed transcutaneous thoracic drainage and right upper lobectomy. The resected lung tissue contained numerous hyphae of Aspergillus. Around the hyphae of Aspergillus, granulomatous reaction and eosinophilic infiltration were observed. Antibodies against Aspergillus were detected in the serum of the patient. The number of peripheral blood eosinophils decreased after right upper lobectomy. These findings suggest that pulmonary bullae and eosinophilic pneumonia may be a rare manifestation of pulmonary aspergillosis.A rare case of a 25-year-old man with pulmonary aspergillosis is reported. Pulmonary bulla and eosinophilic pneumonia in the right upper lobe were diagnosed by chest roentgenogram and transbronchial lung biopsy. Because the patient developed infective bullae during steroid therapy, we performed transcutaneous thoracic drainage and right upper lobectomy. The resected lung tissue contained numerous hyphae of Aspergillus. Around the hyphae of Aspergillus, granulomatous reaction and eosinophilic infiltration were observed. Antibodies against Aspergillus were detected in the serum of the patient. The number of peripheral blood eosinophils decreased after right upper lobectomy. These findings suggest that pulmonary bullae and eosinophilic pneumonia may be a rare manifestation of pulmonary aspergillosis. A rare case of a 25-year-old man with pulmonary aspergillosis is reported. Pulmonary bulla and eosinophilic pneumonia in the right upper lobe were diagnosed by chest roentgenogram and trasbronchial lung biopsy. Because the patient developed infective bullae during steroid therapy, we performed transcutaneous thoracic drainage and right upper lobectomy. The resected lung tissue contained numerous hyphae of Aspergillus. Around the hyphae of Aspergillus, granulomatous reatction and eosinophilic infiltration were observed. Antibodies against Aspergillus were detected in the serum of the patient. The number of peripheral blood eosinophils decreased after right upper lobecotmy. These findings suggest that pulmonary bullae and eosinophilic pneumonia may be a rare manifestation of pulmonary aspergillosis. |
| Author | Matsuda, Tamotsu Nakamura, Yuhichi Muramoto, Shingo Yasui, Masahide Murata, Yoshiharu Nishi, Kohichi Murakami, Shinya Sasaki, Keiko Yamada, Motohiro Morishita, Daiju Fujimura, Masaki Fujioka, Masahiko |
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| References | 5) Katzenstein, A. L., Liebow, A. A. & Friedman, P. J.: Bronchocentric granulomatosis, mucoid impaction, and hypersensitivity reactions to fungi. Am. Rev. Respir. Dis., 112: 497, 1975. 1) Hinson, K. F. W., Moon, A. J. & Plummer, N. S.: Broncho-pulmonary aspergillosis: A review and report of eight new cases. Thorax, 7: 317, 1952. 3) Williams, D. M., Krick, J. A. & Remington, J. S.: Pulmonary infection in the compromized host. Part 1. Am. Rev. Respir. Dis., 114: 359, 1976. 6) Warnock, M. L., Fennessy, J. & Rippon, J.: Chronic eosinophilic pneumonia. A manifestation of allergic aspergillosis. Am. J. Clin. Path., 62: 73, 1974. 2) Green, R.: The pulmonary aspergillosis: Three disinct entities or a spectrum of disease. Radiol., 140: 527, 1981. 7) Riddle, H. F. V., Channell, S., Blyth, W., Weir, D. M., Leoyd, M., Amos, W. M. G. & Grant, I. W. B.: Allergic alveolitis in a maltworker. Thorax, 23: 271, 1968. 4) Rosenberg, M., Patterson, R., Minzer, R., Cooper, B. J., Roberts, M. & Harris, K. E.: Clinical and immunologic criteria for the diagnosis of allergic bronchopulmonary aspergillosis. Ann. Intern. Med., 86: 405, 1977. |
| References_xml | – reference: 4) Rosenberg, M., Patterson, R., Minzer, R., Cooper, B. J., Roberts, M. & Harris, K. E.: Clinical and immunologic criteria for the diagnosis of allergic bronchopulmonary aspergillosis. Ann. Intern. Med., 86: 405, 1977. – reference: 1) Hinson, K. F. W., Moon, A. J. & Plummer, N. S.: Broncho-pulmonary aspergillosis: A review and report of eight new cases. Thorax, 7: 317, 1952. – reference: 3) Williams, D. M., Krick, J. A. & Remington, J. S.: Pulmonary infection in the compromized host. Part 1. Am. Rev. Respir. Dis., 114: 359, 1976. – reference: 5) Katzenstein, A. L., Liebow, A. A. & Friedman, P. J.: Bronchocentric granulomatosis, mucoid impaction, and hypersensitivity reactions to fungi. Am. Rev. Respir. Dis., 112: 497, 1975. – reference: 6) Warnock, M. L., Fennessy, J. & Rippon, J.: Chronic eosinophilic pneumonia. A manifestation of allergic aspergillosis. Am. J. Clin. Path., 62: 73, 1974. – reference: 2) Green, R.: The pulmonary aspergillosis: Three disinct entities or a spectrum of disease. Radiol., 140: 527, 1981. – reference: 7) Riddle, H. F. V., Channell, S., Blyth, W., Weir, D. M., Leoyd, M., Amos, W. M. G. & Grant, I. W. B.: Allergic alveolitis in a maltworker. Thorax, 23: 271, 1968. |
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| SubjectTerms | Adult Aspergillosis - complications Aspergillosis - pathology Aspergillosis - surgery Cysts - etiology Cysts - pathology Cysts - surgery Drainage Eosinophilic pneumonia Humans Lung - pathology Lung Diseases - etiology Lung Diseases - pathology Lung Diseases - surgery Lung Diseases, Fungal - complications Lung Diseases, Fungal - pathology Lung Diseases, Fungal - surgery Male Pneumonectomy Pulmonary aspergillosis Pulmonary bulla Pulmonary Eosinophilia - etiology Pulmonary Eosinophilia - pathology Pulmonary Eosinophilia - surgery |
| Title | A Case of Pulmonary Aspergillosis Presenting Pulmonary Bulla and Eosinophilic Pneumonia |
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