Internal medicine (Tokyo, Japan) · 2020
Invasive Tracheobronchial Aspergillosis with Bronchial Ulcers Complicated by Nontuberculous Mycobacterial Disease.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Kanai Tomohiro, Samejima Yumiko, Noda Yoshimi, Kim Sung-Ho, Tamura Kanako, Umakoshi Taisei, Shimizu Kazunori, Kashiwa Yozo, Morishita Hiroshi, Ueda Kayo, Kawahara Kunimitsu, Yaguchi Takashi, Matsuoka Hiroto
Аннотация
Invasive tracheobronchial aspergillosis (ITBA) complicated by nontuberculous mycobacteria (NTM) is rare. An 88-year-old man was admitted for hemoptysis. Bronchoscopy revealed bronchial ulcers, and a tissue biopsy showed Aspergillus fumigatus. He was diagnosed with ITBA, which improved with voriconazole. During treatment, infiltrative shadows appeared in his lungs, and bronchoscopy was performed once again. A non-necrotic epithelioid granuloma and Mycobacterium intracellulare were detected in the biopsy specimen. He was diagnosed with NTM disease. It is important to note that tracheobronchial ulcers may cause hemoptysis and to identify the etiology and treat it appropriately when multiple bacteria are found.