Case Report
Semi-invasive pulmonary aspergillosis in an immunosuppressed patient: a case report
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* Corresponding author: Edson Marchiori edmarchiori@gmail.com
1 Department of Radiology of the Federal University of Rio de Janeiro, Rua Professor Rodolpho Paulo Rocco, 255, Cidade Universitária, CEP 21941-913, Rio de Janeiro, Brazil
2 Department of Radiology of the Fluminense Federal University, Rua Marquês do Paraná, 530. Centro, CEP 24000-000 Niterói, Rio de Janeiro, Brazil
Cases Journal 2009, 2:40 doi:10.1186/1757-1626-2-40
Published: 12 January 2009Abstract
Background
The authors present the high-resolution computed tomography findings of an immunosuppressed patient with semi-invasive pulmonary aspergillosis.
Case presentation
The main finding consisted of irregular, thick-walled cavity in the right upper lobe and a mass with soft-tissue attenuation within it and thickening of adjacent pleura. Additional findings were bronchial wall thickening associated with a 'tree-in-bud' pattern. Following the clinical, laboratorial and imaging criteria, the diagnosis of semi-invasive pulmonary aspergillosis was defined and antifungical treatment was introduced.
Conclusion
The patient responded well to the treatment with improvement in his systemic symptoms and regression of the pulmonary lesions.