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. 2012 Nov;73(5):278-81.
doi: 10.4046/trd.2012.73.5.278. Epub 2012 Nov 30.

A case of tracheobronchial aspergillosis resolved spontaneously in an immunocompetent host

Hwa Young Lee  1 , Hyeon Hui Kang, Ji Young Kang, Sung Kyoung Kim, Su Hyun Lee, Yoon Yung Chung, Hye Seon Kang, Hee Sun Kwon, Hwa Sik Moon, Sang Haak Lee
Affiliations

A case of tracheobronchial aspergillosis resolved spontaneously in an immunocompetent host

Hwa Young Lee et al. Tuberc Respir Dis (Seoul). 2012 Nov.

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.

Keywords: Aspergillosis; Bronchial Diseases; Immunocompetence.

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Figures

Figure 1
Figure 1
Initial chest X-ray showing old scar of pulmonary tuberculosis without infiltrative lesions in both upper lobes.
Figure 2
Figure 2
Initial bronchoscopic image showing with edematous, inflammatory changes of bronchial mucosa with whitish plaques.
Figure 3
Figure 3
Biopsy of bronchial mucosa showing Aspergillus organisms with branching and septated hyphae (H&E stain, ×400).
Figure 4
Figure 4
Follow-up bronchoscopic image after 10 months showing complete regression of the previously noted endobronchial lesions.
See this image and copyright information in PMC

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