NYMC Faculty Publications
Pulmonary Aspergillosis Presenting With Recurrent Haemoptysis
Author Type(s)
Faculty
DOI
10.1136/bcr-2015-211249.
Journal Title
BMJ Case Reports
Document Type
Article
Publication Date
7-7-2015
Department
Medicine
Second Department
Pathology, Microbiology and Immunology
Keywords
Antifungal Agents, Aspergillus fumigatus, Cough, Hemoptysis, Humans, Male, Middle Aged, Pulmonary Aspergillosis, Recurrence, Treatment Outcome, Tuberculosis, Pulmonary, Voriconazole
Disciplines
Medicine and Health Sciences
Abstract
Pulmonary aspergillosis presents with a variety of clinical forms including invasive pulmonary aspergillosis, chronic necrotising aspergillosis, aspergilloma, chronic cavitary pulmonary aspergillosis and allergic bronchopulmonary aspergillosis. Haemoptysis is a devastating complication of pulmonary aspergillosis and a common indication for surgery. We report a case of a 54-year-old man with a history of pulmonary tuberculosis and diabetes mellitus, who presented with productive cough and haemoptysis for 2 months. Chest CT revealed a 30 mm diameter soft tissue mass in the upper lobe of the right lung. Haemoptysis subsided with conservative measures, but 2 weeks later the patient developed a new episode of persistent haemoptysis, which was only partially controlled with bronchial arterial embolisation. He underwent right upper and middle lobectomy. Histology examination confirmed the presence of a fungal cavitary lesion. The patient was started on voriconazole, and recovered with no recurrence at 18 months follow-up.
Recommended Citation
Betancourt, B. Y., Garofoli, A. C., Sandhu, J., Boma, N., & Sy, A. M. (2015). Pulmonary Aspergillosis Presenting With Recurrent Haemoptysis. BMJ Case Reports, 2015. https://doi.org/10.1136/bcr-2015-211249.
