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Article in Japanese
Abstract
Case Report
A case of airway-invasive pulmonary aspergillosis with diabetes and untreated chronic obstructive pulmonary disease
Naoki Tani Eri Nakano Shinko Suzuki
Department of Respiratory Medicine, Suwa Central Hospital
ABSTRACT
A 58-year-old man with diabetes and untreated chronic obstructive pulmonary disease (COPD) was admitted to our hospital because of fever and dyspnea. He received corticosteroids and antibiotics for an acute exacerbation of COPD, but his condition worsened. Aspergillus fumigatus was identified in both sputum and bronchoscopic specimens. Bronchoscopic examination showed whitish plaques and irregular reddish mucosa in the trachea and the two main bronchi, and we consequently diagnosed his illness as airway-invasive pulmonary aspergillosis. He was treated successfully with voriconazole and aerosolized amphotericin B inhalation.
KEYWORDS
Airway-invasive pulmonary aspergillosis Chronic obstructive pulmonary disease (COPD)
Received 25 May 2017 ／ Accepted 25 Sep 2017
AJRS, 7(1): 39-43, 2018
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