Sato Shuku, Tamai Yotaro, Sugimoto Hideyasu, Watanabe Shinji, Kumagae Tomohiro, Kannbe Emiko, Tanaka Eri
Division of Hematology Shonan Kamakura General Hospital Kanagawa Japan.
Division of Respiratory Medicine Shonan Kamakura General Hospital Kanagawa Japan.
Clin Case Rep. 2018 Mar 4;6(4):745-749. doi: 10.1002/ccr3.1453. eCollection 2018 Apr.
Invasive pulmonary aspergillosis (IPA) often occurs during the treatment of malignant lymphoma. However, invasive tracheobronchial aspergillosis (ITBA) is a rare form of IPA. Particularly, due to the decrease in immunity associated with chemotherapy, it is difficult to diagnose ITBA only by CT imaging and serological findings. Pathologic diagnosis by bronchoscopy is important.
侵袭性肺曲霉病(IPA)常发生于恶性淋巴瘤治疗期间。然而,侵袭性气管支气管曲霉病(ITBA)是IPA的一种罕见形式。特别是,由于化疗导致免疫力下降,仅通过CT成像和血清学检查结果很难诊断ITBA。通过支气管镜进行病理诊断很重要。