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Chronic necrotising pulmonary aspergillosis: an uncommon aetiology of pneumothorax.
- Source :
-
BMJ case reports [BMJ Case Rep] 2014 Sep 23; Vol. 2014. Date of Electronic Publication: 2014 Sep 23. - Publication Year :
- 2014
-
Abstract
- Pneumothorax is a frequent cause of admission in an emergency department. It can be due to a leakage of air from an air-filled lung cavitation into the pleural space. We report the unusual case of pneumothorax in a patient with a pulmonary cavitary infectious process mimicking tuberculosis. A 30-year-old asthmatic man, treated for several years with low-dose inhaled corticosteroids, presented a complete left tension pneumothorax and chronic necrotising pulmonary aspergillosis that mimicked initial pulmonary tuberculosis. Antifungal treatment by voriconazole was started and continued for 1 year, with a favourable outcome. This case highlights that chronic necrotising pulmonary aspergillosis is a diagnosis that should be considered in patients with a clinical presentation of pulmonary tuberculosis or in patients experiencing pneumothorax, especially in the context of corticosteroid treatment.<br /> (2014 BMJ Publishing Group Ltd.)
- Subjects :
- Adult
Chronic Disease
Humans
Lung diagnostic imaging
Lung pathology
Male
Necrosis
Pneumothorax diagnostic imaging
Pneumothorax pathology
Pulmonary Aspergillosis diagnosis
Pulmonary Aspergillosis diagnostic imaging
Pulmonary Aspergillosis pathology
Tomography, X-Ray Computed
Pneumothorax etiology
Pulmonary Aspergillosis complications
Subjects
Details
- Language :
- English
- ISSN :
- 1757-790X
- Volume :
- 2014
- Database :
- MEDLINE
- Journal :
- BMJ case reports
- Publication Type :
- Academic Journal
- Accession number :
- 25249216
- Full Text :
- https://doi.org/10.1136/bcr-2014-204137