Abstract
The chronic pulmonary aspergillosis is an uncommon condition, its prevalence increases in association with structural alterations, this highlights the importance of its knowledge bearing in mind the high incident of tuberculosis in Colombia. for the angioinvasive behavior of the fungus, the possibility of developing hemoptysis is high even life threatening. Objective: to study the form of presentation and diagnostic approach of the aspergilosis and his association with sequels of pulmonary tuberculosis. Case Report: we present a case of a 44-year-old masculine patient, with pulmonary sequels for tuberculosis who required hospitalization because of recurring hemoptysis; some imagenologic findings were found suggesting of pulmonary aspergillosis, he required clinical stabilization, selective arterial embolization and finally resection of the lesion. Conclusion: the aspergillosis is an unusual disease and requires integration of non-accurate clinical aspects and some representative imagenologic findings to make a proper diagnostic. MÉD.UIS. 2017;30(1):79-86.
Keywords: Pulmonary Aspergillosis. Hemoptysis. Therapeutic Embolization. Pneumonectomy. Tuberculosis. Aspergillus
References
Deening D, Cadranel J, Beigelman C, Ader F, Chakrabarti A, et al.
Chronic pulmonary aspergillosis: rationale and clinical guidelines
for diagnosis and management. Eur Respir J. <2016; 47:45–68.
Izumikawa K. Recent advances in chronic pulmonary aspergilosis.
The Japanese Respiratory Society. 2015.
Denning D, Pleuvry A, Cole D. Carga global de la aspergilosis
pulmonar crónica como una secuela de tuberculosis pulmonar.
Boletín de la Organización Mundial de la Salud, Diciembre 2011.
[consultado 15 de abr. 2016] Disponible en http://www.who.int/
bulletin/volumes/89/12/11-089441-ab/es/
Kosmidis C, Denning DW. The clinical spectrum of pulmonary
aspergillosis. Thorax. 2015;70:270–7.
Ennett J. On the parasitic vegetable structures found growing in
living animals. Trans Royal Soc Edinburgh. 1842;15:277-79.
Passera E, Rizzi A, Robustellini M, Rossi G, Della C, et al.
Pulmonary aspergilloma. Thoracic Surg Clin. 2012;22:345-61.
Cuervo SI, Gómez JC, Rivas P, Guevara FO. Actualización en
aspergilosis con énfasis en aspergilosis invasora. Infectio.
;14(S2):S131-44.
Velez J, Suarez R. Protocolo de estudio y manejo de pacientes con
aspergilosis. Infectio. 2012;16:114-17.
Lopez A, Berazain C. Invasive pulmonary aspergillosis in
neutropenic patient. Gac Med Bol. 2015;38(1):38-42.
Curberlo J, Galván JM, Aspa J. Actualización sobre Aspergillus,
Pneumocystis y otras micosis pulmonares oportunistas. Arch
Bronconeumol. 2015;51(12):647-53.
Regnard JF, Icard P, Nicolosi M, Spagiarri L, Magdeleinat P, et al. Aspergilloma: A series of 89 surgical cases. Ann Thorac Surg.
;69:898-903.
Kohno S, Izumikawa K, Ogawa K. Intravenous micafungin versus
voriconazole for chronic pulmonary aspergillosis: a multicenter
trial in Japan. J Infect. 2010;61:410–18.
Martínez J, Márquez M, Sola O, Are J, Grarau J. Tratamiento del
aspergiloma pulmonar. Revisión clínica. Enferm Infecc Microbiol
Clin. 2000;18:413-5.
Lordan JL, Gascoigne A, Corris PA. The pulmonary physician in
critical care • Illustrative case 7: Assessment and management of
massive haemoptysis. Thorax. 2003;58(9):814–19.
Gerard A. A retrospective review comparing the treatment
outcomes of emergency lung resection for massive haemoptysis
with and without preoperative bronchial artery embolization. Eur
J Cardiothorac Surg. 2014;45(2):251-5. Intervent Radiol. 2006;29(5):807-10.
Walsh TJ, Anaisssie EJ, Denning DW, Herbrechht R, Kontoyiannis
DP, Marr KA, et al. Tratamiento de la Aspergilosis: Guías para la
práctica clínica de la Sociedad de Enfermedades Infecciosas de los
Estados Unidos de América (IDSA). Clinical Infectious Diseases.
;46:T1–T36.
Fortún J, Meije Y, Fresco G, Moreno S. Aspergilosis. Formas clínicas y tratamiento. Enferm Infecc Microbiol Clin. 2012;30(4):201–208.
Corr P. Management of severe hemoptysis from pulmonary
aspergilloma using endovascular embolization. Cardiovasc
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright (c) 2017 Médicas UIS