Bal Amanjit, Bagai Maneesh, Mohan Harsh, Dalal Usha
Mycoses. 2008 Jul;51(4):357-9. doi: 10.1111/j.1439-0507.2008.01495.x. Epub 2008 Apr 28.
The most common predisposing factor for aspergillomas is the presence of a pre-existing lung cavity secondary to tuberculosis, bronchial cysts and bullae, neoplasms, and pulmonary infarction. However, Aspergilloma within a hydatid cyst is a rare occurrence. A 52-year-old female was presented with chest pain and shortness of breath. Computerized tomography-guided fine needle aspiration (FNA) showed fragment of lamellated membrane of hydatid cyst in a background of amorphous debris. Surgical enucleation of the cyst revealed lamellated hyaline acellular ectocyst of hydatid cyst and collections of acute angle branching septate hyphae conforming to morphology of Aspergillus. Here we describe this rare entity of aspergilloma in a pulmonary hydatid cyst and discuss its management.
曲菌球最常见的诱发因素是既往存在的肺空洞，继发于肺结核、支气管囊肿和肺大疱、肿瘤及肺梗死。然而，包虫囊肿内的曲菌球较为罕见。一名52岁女性因胸痛和气短就诊。计算机断层扫描引导下细针穿刺抽吸（FNA）显示在无定形碎屑背景中有包虫囊肿的层状膜碎片。囊肿手术摘除显示为包虫囊肿的层状透明无细胞外囊，以及符合曲霉菌形态的锐角分支分隔菌丝聚集。在此我们描述了肺包虫囊肿中这种罕见的曲菌球实体并讨论其治疗。
