Rare Presentation of Primary Pulmonary AspergillosisSathyasudish N, Vishak KA*, Sydney DS, Santosh R, Anand R and Preetam AP
Department of Chest Diseases, Kasturba Medical College Hospital, Attavara, Mangalore, Karnataka, India
- *Corresponding Author:
- Vishak Acharya K
Department of Chest Diseases
Kasturba Medical College Hospital
Attavara, Mangalore - 575 001, Karnataka, India
E-mail: [email protected]
Received date: October 20, 2014, Accepted date: December 25, 2014, Published date: December 30, 2014
Citation: Sathyasudish N, Vishak KA, Sydney DS, Santosh R, Anand R, et al. (2014) Rare Presentation of Primary Pulmonary Aspergillosis. J
Pulm Respir Med 5:227. doi:10.4172/2161-105X.1000227
Copyright: © 2014 Sathyasudish N, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
A middle aged female presented with symptoms of chronic cough, breathlessness, fatigue and weight loss of 4 months duration. Chest X-ray (CXR) was suggestive of bilateral upper lobe mass lesion with a differential diagnosis in favour of malignancy. Contrast enhanced computed tomography (CECT) chest showed collapse of right upper lobe and left upper lobe. Bronchoscopy showed thick gelatinous globular plugs occluding both upper lobes and guided biopsy showed granular necrotic debris and dense eosinophilic infiltrates. Her serum immunoglobulin-E (IgE) levels were very high (18,887 IU/ml) and Gomori Methenamine Silver staining was suggestive of Aspergillus sps. She was diagnosed to have Primary pulmonary aspergillosis and treated with itraconazole for 2 months. She responded very well and lung lesions cleared drastically on follow up.