Chronic necrotising pulmonary aspergillosis: an uncommon aetiology of pneumothorax.
Chronic necrotising pulmonary aspergillosis: an uncommon aetiology of pneumothorax.
复制标题
DOI：
10.1136/bcr-2014-204137
复制
发表时间：
2014-09-23
期刊：
影响因子：
0.9
通讯作者：
Argaud, Laurent
中科院分区：
文献类型：
--
作者：
Desgranges, Francois-Pierrick;Hernu, Romain;Argaud, Laurent
气胸是急诊科入院的常见原因。它可能是由于空气从充满空气的肺空化中泄漏到胸膜腔。我们报告一个不寻常的病例气胸在病人的肺腔感染过程模拟肺结核。一位30岁的哮喘患者，接受了几年的低剂量吸入皮质类固醇治疗，表现为完全的左侧张力性气胸和慢性坏死性肺曲霉病，类似于最初的肺结核。开始伏立康唑抗真菌治疗并持续1年，结果良好。本病例强调慢性坏死性肺曲霉病是临床表现为肺结核或气胸的患者应考虑的诊断，特别是在皮质类固醇治疗的背景下。
Pneumothorax is a frequent cause of admission in an emergency department. It can be due to a leakage of air from an air-filled lung cavitation into the pleural space. We report the unusual case of pneumothorax in a patient with a pulmonary cavitary infectious process mimicking tuberculosis. A 30-year-old asthmatic man, treated for several years with low-dose inhaled corticosteroids, presented a complete left tension pneumothorax and chronic necrotising pulmonary aspergillosis that mimicked initial pulmonary tuberculosis. Antifungal treatment by voriconazole was started and continued for 1 year, with a favourable outcome. This case highlights that chronic necrotising pulmonary aspergillosis is a diagnosis that should be considered in patients with a clinical presentation of pulmonary tuberculosis or in patients experiencing pneumothorax, especially in the context of corticosteroid treatment.