Bronchoscopic Removal of Aspergilloma from a Cavitary Lesion of the Lung
Published: November 1, 2014 | DOI: https://doi.org/10.7860/JCDR/2014/.5178
Kalyan Kumar P.V, Gaude G.S, Kannan R, Atharunissa Begum R, Senthil Kumar Aiyappan
1. Assistant Professor, Department of Pulmonary Medicine, Saveetha Medical College & Hospital, Saveetha University,
Saveetha Nagar, Thandalam, Chennai, Tamilnadu, India.
2. Professor & Head of the Department, Department of Pulmonary Medicine, J. N. Medical College, Belgaum, Karnataka, India.
3. Associate Professor, Department of Internal Medicine, Saveetha Medical College & Hospital, Saveetha University,
Saveetha Nagar, Thandalam, Chennai, Tamilnadu, India.
4. Professor & Head, Department of Pulmonary Medicine, Saveetha Medical College & Hospital, Saveetha University,
Saveetha Nagar, Thandalam, Chennai, Tamilnadu, India.
5. Associate Professor, Department of Radiodiagnosis and Imaging, Saveetha Medical College & Hospital, Saveetha University,
Saveetha Nagar, Thandalam, Chennai, Tamilnadu, India.
Correspondence
Dr. Kalyan Kumar P.V,
Flat No.A-4, 2nd Floor No.17/2, 1st Cross Street, East Kamakodi Nagar, Valasaravakkam, Chennai 600 087, Tamilnadu, India.
Phone : 9445905779, E-mail : drpvkalyan@hotmail.com
We report a 62-year-old diabetic male who had recurrent episodes of haemoptysis, diagnosed to have Aspergilloma in the right upper lobe cavitary lesion of the lung. Bronchoscopic biopsy revealed a fungal ball (Aspergillus niger) in the right upper lobe. Since the patient did not respond to medical treatment, unfit for any surgical interventions, mechanical removal of the fungal ball was done with both rigid and flexible bronchoscopes. Patient improved symptomatically after the removal of the fungal ball; haemoptysis subsided. The patient is still under follow up without any further episodes of hemoptysis. This case report highlights a new alternative treatment option in patients with open cavitary Aspergilloma.
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