一般社団法人日本呼吸器学会 公式サイト
日本呼吸器学会英文誌 Respiratory Investigation
日本呼吸器学会誌 増刊号 学術講演会プログラム 抄録集 検索用
日本呼吸器学会誌 増刊号 学術講演会プログラム 抄録集 全文PDF

Abstract

Full Text of PDF Full Text of PDF (436k)
Article in Japanese

Case Report

A case of invasive aspergillosis with hemophagocytosis

Ryoji Nakano  Masanori Fukuhara  Noritaka Kikuchi  Yoshiyuki Kenmotsu  Atsushi Ishimine  Kumiko Sato 

Department of Internal Medicine, Kin-ikyo Chuo Hospital

ABSTRACT

Invasive aspergillosis causes systemic disseminated fungal infection. Most patients of this disease are immunocompromised hosts. The clinical courses are often progressive, and the patients develop very serious illnesses, so we should start treatment in the early clinical course. We have experienced a case of invasive aspergillosis in a male patient. He had no record of immune system illness or diseases that caused immunodeficiency, but he had experienced lymphocytopenia. He became worse over a short term and died. A pathological autopsy revealed disseminated aspergillus infection in multiple organs and hemophagocytosis in the bone marrow. Few case reports of invasive aspergillosis caused in immunocompetent hosts are available. If a patient shows atypical chest images or symptoms of hemoptysis, pulmonary aspergillosis should be suspected and, if needed, judicious antifungal therapy initiated.

KEYWORDS

Invasive aspergillosis  Deep-seated fungal infection  Immunocompromised host  Lymphocytopenia 

Received 24 May 2013 / Accepted 23 Oct 2013

AJRS, 3(2): 232-236, 2014

Google Scholar