An analysis of a case with pulmonary aspergillosis and recurrent hemoptysis

Abstract

Among the several Invasive pulmonary aspergilloses is one of the clinical manifestations of the condition, allergic bronchopulmonary aspergillosis, aspergilloma, chronic cavitary pulmonary aspergillosis, and chronic necrotizing aspergillosis. Hemoptysis is a severe pulmonary aspergillosis complication that frequently requires surgery. We report a 52-year-old man who had diabetes mellitus and pulmonary tuberculosis in the past, and hemoptysis when he arrived with a productive cough and hemoptysis for two months. Chest computed tomography revealed an upper lobe soft tissue mass with a diameter of 30 mm. Two weeks following the original episode, the patient experienced a further episode of chronic hemoptysis that bronchial arterial embolization could only partially treat. The centre and upper right lobes were eliminated. A histological analysis determined that the disease was a fungal cavitary lesion. At the 18-month checkup, the patient had fully healed after beginning voriconazole and had no recurrence.