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American journal of respiratory and critical care medicine, 2021-01, Vol.203 (1), p.e1-e2
Ort / Verlag
United States: American Thoracic Society
Erscheinungsjahr
2021
Quelle
MEDLINE
Beschreibungen/Notizen
A 48-year-old man consulted a hospital for weight loss and hemoptysis. His medical history included a medically treated Mycobacterium szulgat pulmonary infection (1997). a left upper lobectomy for pulmonary aspergilloma (2000). chronic pulmonary aspergillosis treated with voriconazole (since 2003). and a left pleural cavemostomy for pleural aspergilloma associated with bronchopleural fistulas (2005). He had no history of tobacco smoking, alcohol drinking, drug abuse, immunosuppressive disease, or medications. Flexible endoscopic cavemostomy exploration with pleural biopsies led to the diagnosis of pleural aspergillosis, caused by voriconazole-sensitive Aspergillus fumigatus. Blood analysis revealed normal complete and differential Wood counts, glucose, lactate dehydrogenase, renal-and liver-function test results, protein concentration, and electrophoresis results as well as negative results for antinuclear antibotfes. antineutrophil cytoplasmic antibodies, rheumatoid factor, and screening for HIV.