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KMID : 0338420120270040463
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The Korean Journal of Internal Medicine
2012 Volume.27 No. 4 p.463 ~ p.466
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Sudden Atelectasis and Respiratory Failure in a Neutropenic Patient: Atypical Presentation of Pseudomembranous Necrotizing Bronchial Aspergillosis
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:Noh Ji-Yun
:Kim Seok-Jin/:Kang Eun-Hae/:Seo Bo-Kyoung/:Rho Kyoung-Ho/:Chae Yang-Seok/:Kim Byung-Soo
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Abstract
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Pseudomembranous necrotizing bronchial aspergillosis (PNBA) is a rare form of invasive aspergillosis with a very poor prognosis. The symptoms are non-specific, and the necrotizing plugs cause airway obstruction. Atelectasis and respiratory failure can be the initial manifestations. Recently, we treated an immunocompromised patient with PNBA, who presented with a sudden onset of atelectasis and acute respiratory failure. There were no preceding signs except for a mild cough and one febrile episode. Bronchoscopy revealed PNBA, and Aspergillus nidulans was cultured from the bronchial wash.
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KEYWORD
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spergillosis, Pneumonia, Neutropenia
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