A case of chronic necrotizing bronchopulmonary aspergillosis presenting with hemoptysis and a pulmonary mass mimicking lung cancer

Servet Kayhan, Ünal Şahin, Yıldıray Bekar, Halit Çınarka, Aziz Gümüş, Recep Bedir

Abstract


Chronic necrotizing pulmonary aspergillosis usually affects the immunocompromised patients with abnormal pulmonary defense mechanisms. Herein, we report a 62-year-old man admitted to our clinic with the complaint of chronic productive cough, hemoptysis and history of recurrent lower respiratory tract infections in last one year. Computed tomographic scan revealed an irregularly shaped mass in the right middle lobe. Fiberoptic bronhoscopy demonstrated the hemorrhage and stenosis in the middle lobe bronchus. Cytologic examinations of bronchoscopic samples demonstrated the hyphae of Aspergillus. An urgent thoracotomy, right middle lobectomy and sleeve resection of posterior segment of upper lobe were performed due to massive hemoptysis and the final diagnosis was local invasive and necrotizing aspergillosis.

 

Keywords: Bronchopulmonary; Aspergillosis; Hemoptysis


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