Aspergilose pulmonar necrotizante crônica Chronic necrotizing pulmonary aspergillosis
A aspergilose pulmonar necrotizante crônica é uma das formas de aspergilose pulmonar usualmente encontrada em pacientes com imunossupressão leve. Apresentamos o caso de uma paciente com queixas de tosse produtiva crônica, febre e astenia. Havia utilizado corticóides. A TC do tórax evidenciava consol...
Saved in:
Published in: | Jornal brasileiro de pneumologia Vol. 35; no. 1; pp. 95 - 98 |
---|---|
Main Authors: | , , , , |
Format: | Journal Article |
Language: | English |
Published: |
Sociedade Brasileira de Pneumologia e Tisiologia
01-01-2009
|
Subjects: | |
Online Access: | Get full text |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
Abstract | A aspergilose pulmonar necrotizante crônica é uma das formas de aspergilose pulmonar usualmente encontrada em pacientes com imunossupressão leve. Apresentamos o caso de uma paciente com queixas de tosse produtiva crônica, febre e astenia. Havia utilizado corticóides. A TC do tórax evidenciava consolidação com cavitação de permeio no lobo superior direito. A fibrobroncoscopia demonstrou secreção purulenta em árvore traqueobrônquica e lesão vegetante endobrônquica. Biópsias desta lesão e biópsia transbrônquica foram compatíveis com aspergilose. Diante do quadro clínico, radiológico e histopatológico, o diagnóstico de aspergilose pulmonar necrotizante crônica foi realizado. Tratada com itraconazol, a paciente apresentou boa evolução clínico-radiológica.Chronic necrotizing pulmonary aspergillosis is one of the forms of pulmonary aspergillosis typically found in mildly immunocompromised patients. We report the case of a female patient with complaints of chronic productive cough, fever and asthenia. She reported previous corticosteroid use. A CT scan of the chest revealed consolidation with interposed cavitation in the right upper lobe. Fiberoptic bronchoscopy revealed purulent fluid within the tracheobronchial tree and an endobronchial exophytic lesion. The results of the biopsy of that lesion and the transbronchial biopsy were consistent with aspergillosis. Based on the clinical, radiological and histopathological findings, the patient was diagnosed with chronic necrotizing pulmonary aspergillosis. Treated with itraconazole, the patient presented a favorable clinical-radiological evolution. |
---|---|
AbstractList | A aspergilose pulmonar necrotizante crônica é uma das formas de aspergilose pulmonar usualmente encontrada em pacientes com imunossupressão leve. Apresentamos o caso de uma paciente com queixas de tosse produtiva crônica, febre e astenia. Havia utilizado corticóides. A TC do tórax evidenciava consolidação com cavitação de permeio no lobo superior direito. A fibrobroncoscopia demonstrou secreção purulenta em árvore traqueobrônquica e lesão vegetante endobrônquica. Biópsias desta lesão e biópsia transbrônquica foram compatíveis com aspergilose. Diante do quadro clínico, radiológico e histopatológico, o diagnóstico de aspergilose pulmonar necrotizante crônica foi realizado. Tratada com itraconazol, a paciente apresentou boa evolução clínico-radiológica.Chronic necrotizing pulmonary aspergillosis is one of the forms of pulmonary aspergillosis typically found in mildly immunocompromised patients. We report the case of a female patient with complaints of chronic productive cough, fever and asthenia. She reported previous corticosteroid use. A CT scan of the chest revealed consolidation with interposed cavitation in the right upper lobe. Fiberoptic bronchoscopy revealed purulent fluid within the tracheobronchial tree and an endobronchial exophytic lesion. The results of the biopsy of that lesion and the transbronchial biopsy were consistent with aspergillosis. Based on the clinical, radiological and histopathological findings, the patient was diagnosed with chronic necrotizing pulmonary aspergillosis. Treated with itraconazole, the patient presented a favorable clinical-radiological evolution. |
Author | Marco Antônio Alves de Oliveira Rosane Rodrigues Martins Jefferson Fontinele e Silva Melânio de Paula Barbosa Eduardo Felipe Barbosa Silva |
Author_xml | – sequence: 1 fullname: Eduardo Felipe Barbosa Silva – sequence: 2 fullname: Melânio de Paula Barbosa – sequence: 3 fullname: Marco Antônio Alves de Oliveira – sequence: 4 fullname: Rosane Rodrigues Martins – sequence: 5 fullname: Jefferson Fontinele e Silva |
BookMark | eNqtjEFOwzAURC3USrS0Z8AXKPyfxA5ZogrUrkFsrR_HSV2ldmSHBZyLG_RiTasoJ2AxmtGM5i3ZzHlnGHtEeEJRwPMHvoDcpDmmCUABAHhVdscW4yDkbMqY3rNljEcAIQsJC_b1GjsTGtv6aHj33Z68o8Cd0cH39pdcb7gO5z9nNfHtIfghTKt1zXT54TSCBpKNKzavqY1mPfoD27-_fW53m8rTUXXBnoaL8mTVrfChURR6q1ujciQjCHORYJnVsioxK0Fnia7rQkOVpP_JugCcQmfX |
ContentType | Journal Article |
DBID | DOA |
DOI | 10.1590/S1806-37132009000100014 |
DatabaseName | DOAJ Directory of Open Access Journals |
DatabaseTitleList | |
Database_xml | – sequence: 1 dbid: DOA name: Directory of Open Access Journals url: http://www.doaj.org/ sourceTypes: Open Website |
DeliveryMethod | fulltext_linktorsrc |
Discipline | Medicine |
EISSN | 1806-3756 |
EndPage | 98 |
ExternalDocumentID | oai_doaj_org_article_71ae5a17521b4f6db14b0c42cff9c0d2 |
GroupedDBID | 29J 2WC 5GY 5VS ABXHO ADBBV AEGXH AENEX ALMA_UNASSIGNED_HOLDINGS APOWU AZFZN BAWUL BCNDV CS3 DIK DU5 EBS EJD F5P GROUPED_DOAJ GX1 IPNFZ KQ8 M~E OK1 RIG RNS RPM RSC SCD TR2 XSB |
ID | FETCH-doaj_primary_oai_doaj_org_article_71ae5a17521b4f6db14b0c42cff9c0d23 |
IEDL.DBID | DOA |
ISSN | 1806-3713 |
IngestDate | Tue Oct 22 15:15:51 EDT 2024 |
IsDoiOpenAccess | true |
IsOpenAccess | true |
IsPeerReviewed | true |
IsScholarly | true |
Issue | 1 |
Language | English |
LinkModel | DirectLink |
MergedId | FETCHMERGED-doaj_primary_oai_doaj_org_article_71ae5a17521b4f6db14b0c42cff9c0d23 |
OpenAccessLink | https://doaj.org/article/71ae5a17521b4f6db14b0c42cff9c0d2 |
ParticipantIDs | doaj_primary_oai_doaj_org_article_71ae5a17521b4f6db14b0c42cff9c0d2 |
PublicationCentury | 2000 |
PublicationDate | 2009-01-01 |
PublicationDateYYYYMMDD | 2009-01-01 |
PublicationDate_xml | – month: 01 year: 2009 text: 2009-01-01 day: 01 |
PublicationDecade | 2000 |
PublicationTitle | Jornal brasileiro de pneumologia |
PublicationYear | 2009 |
Publisher | Sociedade Brasileira de Pneumologia e Tisiologia |
Publisher_xml | – name: Sociedade Brasileira de Pneumologia e Tisiologia |
SSID | ssj0056960 |
Score | 3.5805902 |
Snippet | A aspergilose pulmonar necrotizante crônica é uma das formas de aspergilose pulmonar usualmente encontrada em pacientes com imunossupressão leve. Apresentamos... |
SourceID | doaj |
SourceType | Open Website |
StartPage | 95 |
SubjectTerms | Aspergillosis Aspergilose Itraconazol Itraconazole Lung diseases, fungal Pneumopatias fúngicas |
Title | Aspergilose pulmonar necrotizante crônica Chronic necrotizing pulmonary aspergillosis |
URI | https://doaj.org/article/71ae5a17521b4f6db14b0c42cff9c0d2 |
Volume | 35 |
hasFullText | 1 |
inHoldings | 1 |
isFullTextHit | |
isPrint | |
link | http://sdu.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV07T8MwED5BB8SCeIpn5YE1apzYeYwFWrVCsBQhtsixL6gSSqu0Gcrv4h_wx_DFIRITA6y2fLa-s3x3vvNngGvDRc7RSM_aEvQED2JPmYR7ASZcpb5KtaGrgcksfnxJ7kZEk9N99UU1YY4e2AE3iLlCqayRC3guisjkVrivRaCLItW-caevH30HU-4MllHq3gcnVNll47C2skum_mDWNVJigHycJk74wdnfGJfxPuy1XiEbutUcwBaWh7Dz0Oa9j-B5SITer_TrALJl_Wb3jqpYaV2-xXr-TuAwXX1-0EMP1tLddr3WNnVDNky1gqyk-eoYpuPR0-3EozVlS0c8kREVdNNgAcpagLLfAApPoFcuSjwFZjQRzqEokqgQMkYVocJC-rnCMAykOYObv893_h9CLmDXpW3oruMSeuuqxivYXpm6bxU9ve836v4C5P61Ig |
link.rule.ids | 315,782,786,866,2106,27933,27934 |
linkProvider | Directory of Open Access Journals |
openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Aspergilose+pulmonar+necrotizante+cr%C3%B4nica+Chronic+necrotizing+pulmonary+aspergillosis&rft.jtitle=Jornal+brasileiro+de+pneumologia&rft.au=Eduardo+Felipe+Barbosa+Silva&rft.au=Mel%C3%A2nio+de+Paula+Barbosa&rft.au=Marco+Ant%C3%B4nio+Alves+de+Oliveira&rft.au=Rosane+Rodrigues+Martins&rft.date=2009-01-01&rft.pub=Sociedade+Brasileira+de+Pneumologia+e+Tisiologia&rft.issn=1806-3713&rft.eissn=1806-3756&rft.volume=35&rft.issue=1&rft.spage=95&rft.epage=98&rft_id=info:doi/10.1590%2FS1806-37132009000100014&rft.externalDBID=DOA&rft.externalDocID=oai_doaj_org_article_71ae5a17521b4f6db14b0c42cff9c0d2 |
thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1806-3713&client=summon |
thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1806-3713&client=summon |
thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1806-3713&client=summon |