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A Case of Endobronchial Aspergilloma Associated with Foreign Body in Immunocompetent Patient without Underlying Lung Disease.
[allergic bronchopulmonary aspergillosis]
Aspergillus
causes
a
variety
of
clinical
syndromes
in
the
lung
including
tracheobronchial
aspergillosis
,
invasive
aspergillosis
,
chronic
necrotizing
pulmonary
aspergillosis
,
allergic
bronchopulmonary
aspergillosis
,
and
aspergilloma
.
Aspergilloma
usually
results
from
ingrowths
of
colonized
Aspergillus
in
damaged
bronchial
tree
,
pulmonary
cyst
or
cavities
of
patients
with
underlying
lung
diseases
.
There
are
a
few
reports
on
endobronchial
aspergilloma
without
underlying
pulmonary
lesion
.
We
have
experienced
a
case
of
endobronchial
aspergilloma
associated
with
foreign
body
developed
in
an
immunocompetent
patient
without
underlying
lung
diseases
.
A
59
-
year
-old
man
is
being
hospitalized
with
recurring
hemoptysis
for
5
months
.
X-
ray
and
computed
tomography
scans
of
chest
showed
a
nodular
opacity
in
superior
segment
of
left
lower
lobe
.
Fiberoptic
bronchoscopy
revealed
an
irregular
,
mass-like
,
brownish
material
which
totally
obstructed
the
sub-segmental
bronchus
and
a
foreign
body
in
superior
segmental
bronchus
of
the
lower
left
lobe
.
Histopathologic
examinations
of
biopsy
specimen
revealed
fungal
hyphae
,
characteristic
of
Aspergillus
species
.
Diseases
Validation
Diseases presenting
"hemoptysis"
symptom
allergic bronchopulmonary aspergillosis
lymphangioleiomyomatosis
This symptom has already been validated