Quoix E, Gasser B, Apprill M, Gourdon C, Pauli G, Roegel E
Pavillon Laënnec, CHRU Strasbourg.
Rev Mal Respir. 1990;7(6):609-12.
We report a case of a 62 year old man who presented with effort dyspnoea accompanied by a cough and haemoptysis. The chest radiograph of the thorax showed atelectasis of the right upper lobe. Bronchoscopy showed evidence of a tumour like mass obstructing the right bronchus and this revealed itself to be a mass of organised fibrinous deposit in granulation tissue containing numerous colonies of Aspergillus. In fact it appeared to be an obstructive Aspergillus bronchitis, with a pseudo-tumour appearance attached to a carcinoid tumour which was obstructing the apical segment of the right upper lobe. Obstructive Aspergillus bronchitis makes up only a small percentage of overall respiratory disease caused by Aspergillus. They pose a problem of differential diagnosis with bronchopulmonary aspergillosis which is much more frequent.
我们报告一例62岁男性患者，其表现为劳力性呼吸困难，伴有咳嗽和咯血。胸部X线片显示右上叶肺不张。支气管镜检查发现有一肿瘤样肿物阻塞右支气管，结果显示为肉芽组织内有大量曲霉菌落的机化性纤维蛋白沉积块。实际上，这似乎是一例阻塞性曲霉菌性支气管炎，伴有一个附着于类癌肿瘤的假瘤外观，该类癌肿瘤阻塞了右上叶尖段。阻塞性曲霉菌性支气管炎仅占曲霉菌所致全部呼吸道疾病的一小部分。它们与更为常见的支气管肺曲霉菌病存在鉴别诊断问题。
