A case of endobronchial aspergilloma with massive hemoptysis.

Kim, Tae Hoon; Yong, Bae Jun; Kim, Yang Ki; Lee, Young Mok; Kim, Ki Up; Uh, Soo Taek; Kim, Yong Hoon; Park, Choon Sik; Hwang, Jung Hwa; Kim, Dong Won

doi:2004.57.6.589

Tuberc Respir Dis > Volume 57(6); 2004 > Article

Case Report

Tuberculosis and Respiratory Diseases 2004;57(6):589-593.
DOI: https://doi.org/10.4046/trd.2004.57.6.589 Published online December 1, 2004.

A case of endobronchial aspergilloma with massive hemoptysis.

Tae Hoon Kim, Bae Jun Yong, Yang Ki Kim, Young Mok Lee, Ki Up Kim, Soo Taek Uh, Yong Hoon Kim, Choon Sik Park, Jung Hwa Hwang, Dong Won Kim

¹Division of Respiratory and Allergy Medicine, Department of Internal Medicine, Soon Chun Hyang University, School of Medicine, Seoul, Korea. uhs@hosp.sch.ac.kr
²Department of Radiology, Soon Chun Hyang University, School of Medicine, Seoul, Korea.
³Department of Clinical Pathology, Soon Chun Hyang University, School of Medicine, Seoul, Korea.

Abstract

Aspergillus fumigatus causes a variety clinical syndrome in lung including aspergilloma, chronic necrotizing aspergillosis, invasive pulmonary aspergillosis, and allergic bronchopulmonary aspergillosis. Aspergilloma develops by a colonization and growing of Aspergillus inside lung cavities with underlying lung disease. There is a few report of endobronchial aspergilloma without lung parenchymal lesion. We experienced a case of endobronchial aspergilloma did not fit any category of Aspergillus-induced lesion, who show minimal fibrostreaky denstities on chest PA and chest CT. Massive hemoptysis was improved by a removal of the aspergilloma in this patient. Here, we report a rare case of endobronchial aspergilloma showing massive hemoptysis with review of literatures.

Key Words: aspergilloma, pulmonary tuberculosis, hemoptysis, bronchial artery embolization