Oonakahara Kenichi, Mizoguchi Akira, Iwami Fumiyuki, Kawabata Masaharu, Osame Mitsuhiro
Division of Respiratory Medicine, National Sanatorium, Minamikyusyu Hospital, Kagoshima, Japan.
Nihon Kokyuki Gakkai Zasshi. 2003 Apr;41(4):282-7.
A 62-year-old woman with diabetes mellitus and chronic hepatitis C was admitted to our hospital because of fever and productive cough. A thoracic CT scan demonstrated a cavity in the left upper lobe, thickening of the bronchial walls and multiple subpleural infiltrates. Fiberoptic bronchoscopy revealed aspergillus bronchitis. The patient was treated with 200 mg/day of oral itraconazole, but no effect was seen. Treatment with 300 mg/day of oral itraconazole, however, resulted in improvement of the symptoms and resolution of the radiographic abnormalities. We report a rare case of aspergillus bronchitis.
一名62岁患有糖尿病和慢性丙型肝炎的女性因发热和咳痰入院。胸部CT扫描显示左上叶有空洞、支气管壁增厚和多个胸膜下浸润灶。纤维支气管镜检查显示为曲霉菌性支气管炎。患者接受了每日200毫克口服伊曲康唑治疗,但未见效果。然而,每日300毫克口服伊曲康唑治疗后症状改善,影像学异常消失。我们报告一例罕见的曲霉菌性支气管炎病例。