A Case of Broncholithiasis Caused by Aspergillus with Broncho-Obstructive Pneumonia and Massive Hemoptysis.

Choi, Chang Kyu; Ryu, Jin Kyung; Bae, Jin Soo; Hwang, Tae Jun; Paik, So Ya; Kim, Do Hoon; Choi, Jeong Hee

doi:2005.59.1.104

Tuberc Respir Dis > Volume 59(1); 2005 > Article

Case Report

Tuberculosis and Respiratory Diseases 2005;59(1):104-108.
DOI: https://doi.org/10.4046/trd.2005.59.1.104 Published online July 1, 2005.

A Case of Broncholithiasis Caused by Aspergillus with Broncho-Obstructive Pneumonia and Massive Hemoptysis.

Chang Kyu Choi, Jin Kyung Ryu, Jin Soo Bae, Tae Jun Hwang, So Ya Paik, Do Hoon Kim, Jeong Hee Choi

¹Department of Pulmonology and Allergy, Bundang Jesaeng General Hospital, Seongnam, Korea. mdqueen@dmc.or.kr
²Department of Diagnostic Pathology, Bundang Jesaeng General Hospital, Seongnam, Korea.

Abstract

A broncholith is a calcified mediastinal lymph node, which partially or completely erodes into the bronchial lumen, and is related to the late tissue response to healing of granulomatous pulmonary infections, most commonly histoplasmosis or tuberculosis. However, there have been a few reports on broncholithiasis caused by Aspergillus. We experienced a case of broncholithiasis caused by Aspergillus, with broncho-obstructive pneumonia and massive hemoptysis. A 39 year-old woman was admitted to our hospital with right middle lobar pneumonia. On the fourth day following admission, massive hemoptysis developed, so an emergent bronchial artery embolization was performed. On the ninth day following admission, a broncholith on the lateral segmental bronchus of the right middle lobe was found by bronchoscopy, which was proved to be Aspergillus hypae with calcification on histological examination. After the simple bronchoscopic removal of the broncholith and empirical antibiotic therapy, the patient recovered without any complications.

Key Words: Broncholithiasis, Aspergillus, Pneumonia, Hemoptysis