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Aslam, Mohammed
- Symptomatic Tracheal Bronchus Presenting as Upper Lobe Pneumonia-Report of Two Cases
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PDF Views:0
Authors
Affiliations
1 Dept. of Pulmonary Medicine, DM Wayanad Institute of Medical Sciences, Wayanad, Kerala, IN
1 Dept. of Pulmonary Medicine, DM Wayanad Institute of Medical Sciences, Wayanad, Kerala, IN
Source
The Indian Practitioner, Vol 71, No 1 (2018), Pagination: 38-40Abstract
Tracheal bronchus is a congenital anomaly usually asymptomatic and detected incidentally during bronchoscopy. Tracheal bronchus arises from the lower end of trachea before its bifurcation and is usually seen on the right side. Tracheal bronchus is a rare anomaly and symptomatic tracheal bronchus is extremely rare. Here we report two cases of tracheal bronchus reported with clinical features of right upper lobe pneumonia.Keywords
Tracheal Bronchus, Displaced Bronchus, Supernumerary Bronchus.
References
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- Doolittle AM, Mair EA. Tracheal bronchus: classification, endoscopic analysis, and airway management. Otolaryngol Head Neck Surg. 2002; 126(3):240-3.
- McLaughlin FJ, Strieder DJ, Harris GBC, et al. Tracheal brounchus: association with respiratory morbidity in childhood. J Paediatr 1985; 106:751-55.
- Invasive Aspergillus Tracheobronchitis Presenting as an Intraluminal Mass - A Rare Case
Abstract Views :187 |
PDF Views:2
Authors
Affiliations
1 Department of Pulmonary Medicine, DM Wayanad Institute of Medical Sciences, Wayanad, Kerala, IN
1 Department of Pulmonary Medicine, DM Wayanad Institute of Medical Sciences, Wayanad, Kerala, IN
Source
The Indian Practitioner, Vol 71, No 6 (2018), Pagination: 30-33Abstract
Aspergillus species are capable of producing invasive disease in patients with impaired defence. When trachea and bronchi are the sole sites of Aspergillus infection, it is called invasive aspergillus tracheobronchitis. This occurs in a small percentage of patients who have generalized or local immune disruption. This is a case of isolated invasive Aspergillus tracheobronchitis presenting as intraluminal mass mimicking bronchogenic carcinoma. Bronchoscopic biopsy showed profuse growth of Aspergillus fumigatus and the patient was treated with an antifungal drug. Repeat bronchoscopy after one month showed no evidence of Apergillus growth and there is no evidence of underlying malignancy either. We report this case because of its rarity.Keywords
Aspergillus Tracheobronchitis, Pseudomembranous Tracheobronchitis, Voriconazole.References
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- Endmonds LC, Prakash UB. Lymphoma, neutropenia and wheezing in a 70-year-old man. Chest 1993; 103: 585–587.
- Onozawa M, Takahashi S, Kanamori H, et al. Pseudomembranous tracheobronchial aspergillosis. Internal Medicine Journal 2009; 39(1):65–66.
- Hiromitsu Ohta, Susumu Yamazaki, You Miura, Minoru Kanazawa, Fumikazu Sakai, Makoto Nagata. Invasive tracheobronchial aspergillosis progressing from bronchial to diffuse lung parenchymal lesions. Respirol Case Rep. 2016; 4(1): 32–34.
- Li Y, Yu F, Parsons C, Chen C, Ye M, Ye J, et al. Pseudomembranous Aspergillus tracheobronchitis: a potential for high mortality in low‐risk patients. Am. J. Med. Sci. 2013; 346(5):366–370. [PubMed]
- A Mohan, R Guleria, C Das, S K Sharma, S Mukhopadhyaya, A Nayak. Invasive Tracheobronchial Aspergillosis in an Immunocompetent Person. Am J Med Sci 2005; 329 (2): 107–109
- Routsi C, Kaltsas P, Bessis E, Rontogianni D, Kollias S, Roussos C. Airway obstruction and acute respiratory failure due to Aspergillus tracheobronchitis. Critical Care Medicine. 2004; 32(2):580–582.
- Walsh TJ, Anaissie EJ, Denning DW, et al. Treatment of aspergillosis: clinical practice guidelines of the infectious diseases society of America. Clinical Infectious Diseases 2008; 46(3):327–360.