Hemoptisis relacionada a una aspergilosis pulmonar cavitaria cónica: presentación de un caso
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Universidad Industrial de Santander
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La aspergilosis pulmonar crónica es una patología infrecuente, su prevalencia aumenta en asociación con alteraciones estructurales, esto resalta la importancia de su conocimiento teniendo en cuenta la elevada incidencia de tuberculosis en Colombia. Por el carácter angioinvasivo del hongo la posibilidad de desarrollar hemoptisis es alta, pudiendo llegar a comprometer la vida de quien la padece. Objetivo: estudiar la forma de presentación y abordaje diagnóstico de la aspergilosis y su asociación con secuelas de tuberculosis pulmonar. Presentación de caso: se presenta el caso de un paciente masculino de 44 años, con secuelas pulmonares por tuberculosis, que requirió hospitalización por hemoptisis recurrente; con hallazgos imagenológicos sugestivos de aspergilosis pulmonar, requirió estabilización clínica, embolización arterial selectiva y resección de la lesión. Conclusión: la aspergilosis es una enfermedad inusual y se requiere de la integración de aspectos clínicos e imagenológicos representativos para hacer un diagnóstico acertado. MÉD.UIS. 2017;30(1):79-86.
Palabras clave: Aspergilosis Pulmonar. Hemoptisis. Embolización terapéutica. Neumonectomía. Tuberculosis. Aspergillus.
The chronic pulmonary aspergillosis is an uncommon condition, its prevalence increases in association with structural alterations, this highlights the importance of its knowledge bearing in mind the high incident of tuberculosis in Colombia. for the angioinvasive behavior of the fungus, the possibility of developing hemoptysis is high even life threatening. Objective: to study the form of presentation and diagnostic approach of the aspergilosis and his association with sequels of pulmonary tuberculosis. Case Report: we present a case of a 44-year-old masculine patient, with pulmonary sequels for tuberculosis who required hospitalization because of recurring hemoptysis; some imagenologic findings were found suggesting of pulmonary aspergillosis, he required clinical stabilization, selective arterial embolization and finally resection of the lesion. Conclusion: the aspergillosis is an unusual disease and requires integration of non-accurate clinical aspects and some representative imagenologic findings to make a proper diagnostic. MÉD.UIS. 2017;30(1):79-86. Keywords: Pulmonary Aspergillosis. Hemoptysis. Therapeutic Embolization. Pneumonectomy. Tuberculosis. Aspergillus
The chronic pulmonary aspergillosis is an uncommon condition, its prevalence increases in association with structural alterations, this highlights the importance of its knowledge bearing in mind the high incident of tuberculosis in Colombia. for the angioinvasive behavior of the fungus, the possibility of developing hemoptysis is high even life threatening. Objective: to study the form of presentation and diagnostic approach of the aspergilosis and his association with sequels of pulmonary tuberculosis. Case Report: we present a case of a 44-year-old masculine patient, with pulmonary sequels for tuberculosis who required hospitalization because of recurring hemoptysis; some imagenologic findings were found suggesting of pulmonary aspergillosis, he required clinical stabilization, selective arterial embolization and finally resection of the lesion. Conclusion: the aspergillosis is an unusual disease and requires integration of non-accurate clinical aspects and some representative imagenologic findings to make a proper diagnostic. MÉD.UIS. 2017;30(1):79-86. Keywords: Pulmonary Aspergillosis. Hemoptysis. Therapeutic Embolization. Pneumonectomy. Tuberculosis. Aspergillus