Sudden Atelectasis and respiratory failure in a neutropenic patient

Atypical presentation of pseudomembranous necrotizing bronchial aspergillosis

Ji Yun Noh, Seok Jin Kim, Eun Hae Kang, Bo Kyoung Seo, Kyoung Ho Rho, Yang Seok Chae, Byung Soo Kim

Research output: Contribution to journalArticle

Abstract

Pseudomembranous necrotizing bronchial aspergillosis (PNBA) is a rare form of invasive aspergillosis with a very poor prognosis. The symptoms are non-specific, and the necrotizing plugs cause airway obstruction. Atelectasis and respiratory failure can be the initial manifestations. Recently, we treated an immunocompromised patient with PNBA, who presented with a sudden onset of atelectasis and acute respiratory failure. There were no preceding signs except for a mild cough and one febrile episode. Bronchoscopy revealed PNBA, and Aspergillus nidulans was cultured from the bronchial wash.

Original languageEnglish
Pages (from-to)463-466
Number of pages4
JournalKorean Journal of Internal Medicine
Volume27
Issue number4
DOIs
Publication statusPublished - 2012 Dec 1

Fingerprint

Aspergillosis
Pulmonary Atelectasis
Respiratory Insufficiency
Aspergillus nidulans
Immunocompromised Host
Bronchoscopy
Airway Obstruction
Cough
Fever

Keywords

  • Aspergillosis
  • Neutropenia
  • Pneumonia

ASJC Scopus subject areas

  • Internal Medicine

Cite this

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abstract = "Pseudomembranous necrotizing bronchial aspergillosis (PNBA) is a rare form of invasive aspergillosis with a very poor prognosis. The symptoms are non-specific, and the necrotizing plugs cause airway obstruction. Atelectasis and respiratory failure can be the initial manifestations. Recently, we treated an immunocompromised patient with PNBA, who presented with a sudden onset of atelectasis and acute respiratory failure. There were no preceding signs except for a mild cough and one febrile episode. Bronchoscopy revealed PNBA, and Aspergillus nidulans was cultured from the bronchial wash.",
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T2 - Atypical presentation of pseudomembranous necrotizing bronchial aspergillosis

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AU - Kim, Seok Jin

AU - Kang, Eun Hae

AU - Seo, Bo Kyoung

AU - Rho, Kyoung Ho

AU - Chae, Yang Seok

AU - Kim, Byung Soo

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AB - Pseudomembranous necrotizing bronchial aspergillosis (PNBA) is a rare form of invasive aspergillosis with a very poor prognosis. The symptoms are non-specific, and the necrotizing plugs cause airway obstruction. Atelectasis and respiratory failure can be the initial manifestations. Recently, we treated an immunocompromised patient with PNBA, who presented with a sudden onset of atelectasis and acute respiratory failure. There were no preceding signs except for a mild cough and one febrile episode. Bronchoscopy revealed PNBA, and Aspergillus nidulans was cultured from the bronchial wash.

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