A case of chronic pulmonary aspergillosis due to pulmonary infarction, mimicking cryptogenic organising pneumonia

Q3 Medicine

European journal of case reports in internal medicine Pub Date : 2024-04-22 DOI:10.12890/2024_004501

Saki Yanoma, Motoi Ugajin, Hiasanori Kani

引用次数: 0

Abstract

A patient initially treated with corticosteroids for cryptogenic organising pneumonia following pulmonary infarction, developed a worsening condition with progressive cavitary formations in both lower lung lobes. Contrast-enhanced chest computed tomography revealed a pulmonary embolism, and serum anti-Aspergillus IgG antibody analysis yielded a strong positive result. Consequently, the patient was diagnosed with pulmonary infarction with Aspergillus infection; organising pneumonia in surrounding areas reflected the repair process. Following treatment with anticoagulants and antifungal agents, the patient was successfully discharged. Hence, pulmonary infarction should be considered in cases of refractory lung lesions.

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一例由肺梗塞引起的慢性肺曲霉菌病，模仿隐源性器质性肺炎

一名患者因肺部梗塞引发隐源性组织化肺炎，起初接受皮质类固醇治疗，后来病情恶化，双下肺叶出现进行性空洞形成。对比增强胸部计算机断层扫描显示存在肺栓塞，血清抗曲霉菌 IgG 抗体分析结果呈强阳性。因此，患者被诊断为肺梗塞合并曲霉菌感染；周围区域的组织性肺炎反映了修复过程。在接受抗凝剂和抗真菌剂治疗后，患者顺利出院。因此，对于难治性肺部病变，应考虑肺梗塞。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European journal of case reports in internal medicine

CiteScore

2.10

自引率

0.00%

发文量

166

审稿时长

8 weeks

期刊介绍： The European Journal of Case Reports in Internal Medicine is an official journal of the European Federation of Internal Medicine (EFIM), representing 35 national societies from 33 European countries. The Journal''s mission is to promote the best medical practice and innovation in the field of acute and general medicine. It also provides a forum for internal medicine doctors where they can share new approaches with the aim of improving diagnostic and clinical skills in this field. EJCRIM welcomes high-quality case reports describing unusual or complex cases that an internist may encounter in everyday practice. The cases should either demonstrate the appropriateness of a diagnostic/therapeutic approach, describe a new procedure or maneuver, or show unusual manifestations of a disease or unexpected reactions. The Journal only accepts and publishes those case reports whose learning points provide new insight and/or contribute to advancing medical knowledge both in terms of diagnostics and therapeutic approaches. Case reports of medical errors, therefore, are also welcome as long as they provide innovative measures on how to prevent them in the current practice (Instructive Errors). The Journal may also consider brief and reasoned reports on issues relevant to the practice of Internal Medicine, as well as Abstracts submitted to the scientific meetings of acknowledged medical societies.