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[A case of chronic necrotizing pulmonary aspergillosis treated with itraconazole]
T Terashima1, H Nakamura, K Naoki
1Department of Medicine, School of Medicine, Keio University, Tokyo, Japan.
Abstract:
An 84-year-old woman was admitted because of fever, hemoptysis and productive cough with infiltrative shadows in the right lung field on chest X-ray. Chronic necrotizing pulmonary aspergillosis was diagnosed on the basis of her clinical and radiographic features, positive cultures and positive serological tests. Conventional chemotherapy with fluconazole and 5-FC produced only minimal improvement. A course of itraconazole was initiated and proved to be effective.