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Ann Geriatr Med Res > Volume 14(1); 2010 > Article
Journal of the Korean Geriatrics Society 2010;14(1):42-47.
DOI: https://doi.org/10.4235/jkgs.2010.14.1.42    Published online March 31, 2010.
A Case of Pseudomembranous Aspergillus Tracheobronchitis in a Patient with Diabetes Mellitus
Young Arm Yi, Jong Min Kim, Se Jin Hwang, Shi Jung Sung, Se Jin Kim, Young Min Kim, Kwang Won Seo, Seung Won Ra, Yangjin Jegal
1Department of Internal Medicine, 2Pathology, University of Ulsan, College of Medicine, Ulsan, Korea
당뇨병 환자에서 발생한 거짓막 아스페르길루스 기관기관지염 1예
이영암1ㆍ김종민1ㆍ황세진1ㆍ성시정1ㆍ김세진1ㆍ김영민2ㆍ서광원1ㆍ나승원1ㆍ제갈양진1
울산대학교 의과대학 내과학교실1, 병리학교실2
Abstract
Aspergillus tracheobronchitis is one form of invasive pulmonary aspergillosis which is characterized by ulcers and pseudomembrane formation in tracheobronchial tree. In Aspergillus tracheobronchitis, the infection is often limited to the mucosa and it accounts for less than 10 percents of invasive disease. Invasive aspergillosis mainly occurs in immunocompromized patients with prolonged neutropenia, advanced AIDS, organ transplantation, high-dose glucocorticoid therapy or cytotoxic therapy although it can occur in less immunocompromised patients, such as after influenza, COPD, old age, and diabetes. We report a case of Aspergillus tracheobronchitis in a 61 year-old patient with diabetes and Child Pugh class A liver cirrhosis. He presented with cough and purulent sputum for 10 days. He was diagnosed by bronchoscopy and successfully treated with antifungal therapy.
Key Words: Invasive pulmonary aspergillosis, Bronchitis, Diabetes mellitus


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