Bronchiale Aspergillosen

Abstract

Bronchopulmonary aspergillosis is becoming more frequent, is often hard to diagnose and with today's antimycotics better to treat than before. It is therefore of current interest. This also concerns bronchial aspergillosis which is less common than pulmonary aspergillosis and the topic of this paper. A total of 39 patients with bronchial aspergillosis are presented: 1) 4 cases with endobronchial aspergilla, two which are visual bronchoscopically, 2) one case with chronic necrotising pulmonary aspergillosis (CNPA), where a bronchus has necrotised, 3) an invasive aspergillosis in the region of a bronchial anastomosis, 4) 7 cases with an Aspergillus invasion from endobronchial tumour tissue and 5) 26 cases with allergic bronchopulmonary aspergillosis (ABPA). 37 of the 39 cases are part of a single centre study with a total of 116 bronchopulmonary aspergilloses, which were collected over seven years. The focus of attention in this paper is on the bronchoscopic and radiological results.

Endobronchial Aspergilloma: Report of 10 Cases and Literature Review

“…Endobronchial aspergilloma can present either as the sole manifestation of pulmonary aspergillosis or can be found with other forms of pulmonary aspergillosis. CNPA or ABPA may be associated with endobronchial aspergilloma14 and pulmonary aspergilloma inside of the lung cavity can be visualized by bronchoscopy 16. In our study, two patients had a fungus ball inside of a cavity on the CT scan, and we considered that these patients had endobronchial aspergilloma with co-exististing fungus ball.…”

Mucoid impaction of bronchi with Aspergillus (A case mimicking lung cancer)

“…Patients are usually asymptomatic, if there is no underlying disease. Cough and hemoptysis are most common symptoms leading to admission (Soubani and Chandrasekar, 2002;Ma et al, 2011;Dobbertin et al, 2010). In this case, no evidence of any systemic disease, supported by radiological or laboratory data was recorded.…”

“…Colonization of aspergillosis on endobronchial tumors can mask the cancer tissue, as well. Aspergillosis of the bronchial stump has also been reported rarely after pulmonary resections (Dobbertin et al, 2010;Le Rochais et al, 2000;Noppen et al, 1995). Therefore, clinicians should pay attention for this differential diagnosis.…”