Cerceo E, Kotloff RM, Hadjiliadis D, Ahya VN, Pochettino A, Gillespie C, Christie JD. Central airways obstruction due to Aspergillus fumigatus after lung transplantation.
J Heart Lung Transplant 2009;
28:515-9. [PMID:
19416784 DOI:
10.1016/j.healun.2009.01.024]
[Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2008] [Revised: 12/18/2008] [Accepted: 01/22/2009] [Indexed: 11/18/2022] Open
Abstract
Aspergillus fumigatus may affect immunocompromised lung transplant patients in many ways. We report a new pulmonary manifestation of A fumigatus in 3 patients who underwent bilateral lung transplantation. All 3 subjects developed rapid decreases in pulmonary function and were found to have large central airways obstruction with thick plugs of mucus, heavily laden with Aspergillus species. All 3 patients presented with atypical features of Aspergillus infection, but all responded to treatments with either steroids, anti-fungals or both.
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