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Pseudomembranous tracheobronchitis caused by Aspergillus in immunocompromised patients
Shang-Miao Chang1, Hsu-Tah Kuo, Fung-J Lin
1Chest Division, Department of Medicine, Mackay Memorial Hospital, No. 92, Section 2, Chung-San N Road, Taipei, Taiwan.
Abstract:
We report 2 cases of Aspergillus pseudomembranous tracheobronchitis in patients with diabetes. The first patient succumbed to progressive obstructive respiratory failure despite mechanical ventilation and antifungal therapy. However, the second patient survived. Aspergillus tracheobronchitis should be considered in immuno-compromised patients presenting with cough, chest pain, fever, dyspnea and upper airway obstruction. Early bronchoscopy and histologic examination should be performed. Early, appropriate treatment may be life saving.
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