Pulmonary aspergillosis is a rare disease, mostly commonly presenting as seconday invasion of pre-existing cavitary disease.
In severance hospital, 9 patients have recognized as having this disorders in the 16 years from 1960 to April, 1976. the diagnosis of the aspergillosis has been made by examination of tissues removed at surgery in severance hospital, all the cases of aspergillosis except one (a Lt upper lobectomy due to bronchiectasis, performed 20 years ago) the case had been diagnosed as pulmonary tuberculosis and treated with anti-tuberculosis drugs for periods ranging from 2 to 14 years the most common presenting symptoms were hemoptysis, blood-tinged sptum and cough for a long time.
All of the cases were confirmed by pathological examination to be aspergillosis superimposed on underlying tuberculosis and/or bronchiectasis three cases were suspected clinically by fnugus cultultures. seven cases were confirmed as aspergillosis, after sugery. one patient died following surgery because of bleeding and pulmonary infufficiency.
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