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논문 기본 정보

자료유형
학술저널
저자정보
Cho, Byung Ha (Department of Internal Medicine, Chungbuk National University College of Medicine) Oh, Youngmin (Department of Internal Medicine, Chungbuk National University College of Medicine) Kang, Eun Seok (Department of Internal Medicine, Chungbuk National University College of Medicine) Hong, Yong Joo (Department of Internal Medicine, Chungbuk National University College of Medicine) Jeong, Hye Won (Department of Internal Medicine, Chungbuk National University College of Medicine) Lee, Ok-Jun (Department of Pathology, Chungbuk National University College of Medicine) Chang, You-Jin (Department of Internal Medicine, Chungbuk National University College of Medicine) Choe, Kang Hyeon (Department of Internal Medicine, Chungbuk National University College of Medicine) Lee, Ki Man (Department of Internal Medicine, Chungbuk National University College of Medicine) An, Jin-Young (Department of Internal Medicine, Chungbuk National University College of Medicine)
저널정보
대한결핵 및 호흡기학회 Tuberculosis and Respiratory Diseases 결핵 및 호흡기 질환 제77권 제5호
발행연도
2014.1
수록면
223 - 226 (4page)

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Aspergillus tracheobronchitis is a form of invasive pulmonary aspergillosis in which the Aspergillus infection is limited predominantly to the tracheobronchial tree. It occurs primarily in severely immunocompromised patients such as lung transplant recipients. Here, we report a case of Aspergillus tracheobronchitis in a 42-year-old man with diabetes mellitus, who presented with intractable cough, lack of expectoration of sputum, and chest discomfort. The patient did not respond to conventional treatment with antibiotics and antitussive agents, and he underwent bronchoscopy that showed multiple, discrete, gelatinous whitish plaques mainly involving the trachea and the left bronchus. On the basis of the bronchoscopic and microbiologic findings, we made the diagnosis of Aspergillus tracheobronchitis and initiated antifungal therapy. He showed gradual improvement in his symptoms and continued taking oral itraconazole for 6 months. Physicians should consider Aspergillus tracheobronchitis as a probable diagnosis in immunocompromised patients presenting with atypical respiratory symptoms and should try to establish a prompt diagnosis.

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