A Case of Endobronchial Aspergilloma Presenting as a Broncholith

Abstract A 75-year-old woman with no history of pulmonary disease was admitted to the hospital complaining of fever and chills. Chest computed tomography and bronchoscopy suggested a broncholith-like calcified endobronchial lesion and postobstructive pneumopathy in the left lower bronchus. The mass...

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Bibliographic Details
Published in:The American journal of the medical sciences 2012-06, Vol.343 (6), p.501-503
Main Authors: Yeo, Chang Dong, MD, Baeg, Myong Ki, MD, Kim, Jin Woo, MD
Format: Article
Language:English
Subjects:
Actinomycosis
Aged
Aspergilloma
Aspergillosis
Aspergillus
Biological and medical sciences
Bronchial Diseases - diagnosis
Bronchial Diseases - microbiology
Bronchial Diseases - pathology
Bronchiolithiasis
Bronchoscopy
Bronchus
Calcification
Calcinosis - diagnosis
Calcinosis - microbiology
Chest
Computed tomography
Diagnosis, Differential
Endobronchial aspergilloma
Female
Fever
General aspects
Grasping
Hospitals
Humans
Internal Medicine
Lung diseases
Lymph nodes
Medical sciences
Pulmonary Aspergillosis - diagnosis
Pulmonary Aspergillosis - pathology
Respiratory tract
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Summary:Abstract A 75-year-old woman with no history of pulmonary disease was admitted to the hospital complaining of fever and chills. Chest computed tomography and bronchoscopy suggested a broncholith-like calcified endobronchial lesion and postobstructive pneumopathy in the left lower bronchus. The mass obstructing the airway was removed using grasping forceps and it was diagnosed pathologically as endobronchial aspergillosis. Endobronchial aspergilloma presenting radiographically as a calcification without adjacent calcified lymph nodes is a rare condition, even though pulmonary fungal diseases including endobronchial actinomycosis can mimic broncholithiasis.
ISSN:0002-9629
1538-2990
DOI:10.1097/MAJ.0b013e3182425745