Endoscopic Visualization of Aspergilloma

Rohatgi, Prashant K.; Chasse, Robert

doi:10.1159/000195908

Cited by 9 publications

(2 citation statements)

References 4 publications

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“…Previously, the flexible bronchoscopy was reserved only for the visualization of a bleeding site prior to surgery. Bronchoscopic visualization of a mycetoma is rare, and this observation is exploited to facilitate endoscopic treatment . Since the introduction of the flexible cryoprobe, it has been utilized in the diagnosis of interstitial lung disease, foreign body removal, and in the treatment of central airway obstruction (benign and malignant).…”

Section: Discussionmentioning

confidence: 99%

Post‐tuberculosis mycetoma: bronchoscopic removal

Chawke

Hunt

Kennedy

et al. 2017

Respirology Case Reports

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A 76‐year‐old male non‐smoker presented to our institution with cough and haemoptysis. He had been treated for cavitatory pulmonary Mycobacterium tuberculosis of the right upper lobe 10 years previously. Chest radiograph and subsequent computed tomography (CT) of the chest demonstrated a right upper cavity containing a mass suspicious for mycetoma. Flexible bronchoscopy under conscious sedation demonstrated a mass obstructing the anterior segment of the right upper lobe. The abnormality was subsequently removed using a flexible endobronchial cryoprobe. Histopathological analysis demonstrated abundant fungal organisms morphologically consistent with Aspergillus species. Microbiological culture of the bronchoalveolar lavage (BAL) from the cavity isolated both Aspergillus fumigatus and Staphylococcus aureus. The patient was commenced on the anti‐fungal drug posaconazole and received a course of flucloxacillin. Three months later, there was no endobronchial obstruction and lavage of the affected cavity again isolated Staphylococcus aureus without Aspergillus species. Repeat thoracic CT and flexible bronchoscopy demonstrated no further re‐occurrence of the mycetoma at 3 months.

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Section: Discussionmentioning

confidence: 99%

Post‐tuberculosis mycetoma: bronchoscopic removal

Chawke

Hunt

Kennedy

et al. 2017

Respirology Case Reports

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“…[40][41][42] Bronchial stump granulomas have been associated with the collection of mucous plugs in or around the vicinity of bronchial stumps, sutures, and endobronchial lesions, which have grown Aspergillus species on the culture. [47][48][49][50] When seen bronchoscopically, the fungus ball appears loose within the cavity and exhibits brownish/black color. 44,45 Removal of sutures and obstructing lesions have been reported to solve the problem.…”

Section: Discussionmentioning

confidence: 99%