Case of uncontrolled asthma with Ceriporia lacerata-related broncholithiasis.

IF 2.1 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS
Annals of Thoracic Medicine Pub Date : 2023-07-01 Epub Date: 2023-05-16 DOI:10.4103/atm.atm_386_22
Chihiro Nakano, Norio Kodaka, Toshiaki Oharaseki, Hiroto Matsuse
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引用次数: 0

Abstract

An 81-year-old Japanese male patient was treated for asthma. He complained of persistent cough and wheezing. Chest computed tomography scan revealed atelectasis in the right middle lobe. Fiberoptic bronchoscopy was performed. Results showed a calcified stone with filamentous fungi with septa in the right middle lobe bronchus, which was subsequently removed. Ceriporia lacerata was detected repeatedly on sputum culture. Thus, the filamentous fungi were suspected as C. lacerata. Broncholithiasis possibly caused mucous membrane damage owing to C. lacerata colonization, resulting in allergic airway inflammation. Herein, we report a rare case of C. lacerata-related broncholithiasis associated with asthma exacerbation.

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一例不受控制的哮喘伴撕裂Ceriporia相关的支气管结石。
一名81岁的日本男性患者因哮喘接受治疗。他抱怨持续咳嗽和喘息。胸部电脑断层扫描显示右中叶肺不张。进行纤维支气管镜检查。结果显示,右中叶支气管内有一块带丝状真菌的钙化结石,并伴有纵隔,随后被切除。在痰培养中反复检测到撕裂Ceriporia lacerata。因此,这些丝状真菌被怀疑是草菇。熊去氧胆酸可能由于草菇定植而引起粘膜损伤,导致过敏性气道炎症。在此,我们报告了一例罕见的伴有哮喘恶化的草菇相关性支气管结石病例。
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来源期刊
Annals of Thoracic Medicine
Annals of Thoracic Medicine CARDIAC & CARDIOVASCULAR SYSTEMS-RESPIRATORY SYSTEM
CiteScore
4.10
自引率
4.30%
发文量
19
审稿时长
>12 weeks
期刊介绍: The journal will cover studies related to multidisciplinary specialties of chest medicine, such as adult and pediatrics pulmonology, thoracic surgery, critical care medicine, respiratory care, transplantation, sleep medicine, related basic medical sciences, and more. The journal also features basic science, special reports, case reports, board review , and more. Editorials and communications to the editor that explore controversial issues and encourage further discussion by physicians dealing with chest medicine.
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