TITLE

UNCOMMON PRESENTATION OF PULMONARY ASPERGILLOMA

AUTHOR(S)
Baradkar, V. P.; Mathur, M.; Kumar, S.
PUB. DATE
July 2009
SOURCE
Indian Journal of Medical Microbiology;Jul2009, Vol. 27 Issue 3, p270
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Cases of pulmonary aspergilloma without any predisposing factors are rarely reported. Clinical presentation varies from case to case. Here, we report a case of pulmonary aspergilloma in a 60-year-old male patient who was admitted to the Intensive Respiratory Care Unit with spontaneous pneumothorax. The patient had a history of dyspnea on exertion since 9 months and mild haemoptysis since the last 6 months. A computerised tomographic scan of the lungs showed a lesion in the left main bronchus along with obstructive emphysema of the right lung, moderate pneumothorax and mediastinal emphysema. Bronchoscopy was performed and the biopsy samples were processed for histopathological examination and culture on Sabouraud's dextrose agar, which yielded growth of Aspergillus flavus. Repeat sputum samples also yielded the growth of A. flavus. The patient responded to intravenous liposomaamphotericin B and intercostal drainage.
ACCESSION #
43225721

 

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