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[Intralobar sequestration associated with pulmonary aspergillosis]

M Oshima1, H Oda, A Watanabe

  • 1Department of Internal Medicine, Mitsugi General Hospital, Hiroshima.

Nihon Kokyuki Gakkai Zasshi = the Journal of the Japanese Respiratory Society
|August 6, 1998
PubMed
Summary

A rare case of intralobar pulmonary sequestration infected with Aspergillus niger was successfully treated. This condition involves abnormal lung tissue and blood supply, complicated by fungal infection.

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Area of Science:

  • Pulmonology
  • Infectious Diseases
  • Radiology

Background:

  • Intralobar pulmonary sequestration is a congenital lung malformation.
  • Fungal infections, particularly aspergillosis, can complicate pulmonary sequestration.
  • Aberrant arterial supply is a key diagnostic feature.

Observation:

  • A 49-year-old male presented with a cough and black sputum.
  • Chest CT revealed cystic changes in the right lower lobe with an aberrant artery.
  • Sputum culture identified Aspergillus niger.

Findings:

  • The patient underwent right lower lobectomy and aberrant artery ligation.
  • Postoperative diagnosis confirmed Pryce-type intralobar sequestration with aspergillosis.
  • Microscopic examination showed Aspergillus hyphae within cyst lumens.

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Implications:

  • This case highlights the importance of considering fungal infections in pulmonary sequestration.
  • Multidisciplinary imaging and microbiological diagnosis are crucial.
  • Surgical resection remains the primary treatment for complicated pulmonary sequestration.