An unusual case of invasive aspergillus ulcerative tracheobronchitis without involvement of lung parenchyma in a post-renal transplant patient.
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Date
2013-10
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Abstract
We present the case of a 54-year-old male, who presented with respiratory complaints four months after he underwent
renal transplantation. Bronchoscopy showed ulcerated mucosa of the left main bronchus and computed tomography (CT)
of the thorax showed foci of air within the bronchial wall. A biopsy from the lesion showed septate fungal hyphae,
dichotomously branching at acute angles. A locally invasive Aspergillus ulcerative tracheobronchitis with no parenchymal
involvement is an important cause of tracheobronchitis in post-renal transplant patients. An early diagnosis and institution
of appropriate treatment can improve the outcome. A combination treatment of caspofungin and voriconazole can be
considered if patient is not responding to voriconazole alone.
Description
Keywords
Tracheobronchitis, Invasive aspergillosis, Post-renal transplant
Citation
Tilve Sandeep S, Shah Arun B, Prabhudesai Pralhad P, Tampi Chandralekha. An unusual case of invasive aspergillus ulcerative tracheobronchitis without involvement of lung parenchyma in a post-renal transplant patient. The Indian Journal of Chest Diseases and Allied Sciences, 2013 Oct; 55(4): 221-223.