Aspergilloma ve idiyopatik pulmoner fibrozis: Nadir Birliktelik

Pulmoner aspergilloma (miçetoma) genellikle önceki tüberküloz, fibrotik sarkoidoz veya interstisyel akciğer hastalıkları dahil fibrokaviter hastalıklar nedeniyle gelişen kistik ve kaviter lezyonlara kolonize olan Aspergillus türlerine bağlı gelişen saprofitik bir fungal enfeksiyondur. İdiyopatik pulmoner fibrozis (İPF), nadir, kronik ilerleyici fibrotik akciğer hastalığıdır ve olağan interstisyel pnömoni histolojisi ile karakterizedir. Diyabetik ve ağır sigara içicisi olan 69 yaşındaki erkek hasta kuru öksürük, nefes darlığı, ateş ve kilo kaybı şikayetleri ile kliniğimize başvurdu. Pulmoner aspergilloma ve İPF birlikteliği tanısı yüksek çözünürlüklü bilgisayarlı tomografi bulgularına göre kondu. Burada, İPF zemininde Aspergillus enfeksiyonu gelişmesi ile ilgili olan bu nadir olguyu literatür eşliğinde sunmak istedik.

Anahtar Kelimeler:

Aspergilloma, Kavite, Fungus topu, İdiyopatik pulmoner fibrozis

Aspergilloma and Idiopathic Pulmonary Fibrosis: A Rare Coexistence

Pulmonary aspergilloma (mycetoma) usually is a saprophytic fungal infection due to aspergillus species which is colonized and grows into pre-existing cystic/ cavitary lesions resulting from pulmonary tuberculosis or fibrotic sarcoidosis, or other fibro-cavitary diseases including interstitial lung diseases. Idiopathic pulmonary fibrosis (IPF) is a rare, chronic, progressive fibrotic lung disease, characterized by the histological pattern of usual interstitial pneumonia. Heavy smoker, diabetic, a 69-year-old male patient was admitted to our clinic with complaints of dry cough, fever, dyspnea on exertion and weight loss. The diagnosis was made as coexisting of pulmonary aspergilloma and IPF according to findings on HRCT. Hereby, we wanted to present this rare case regarding of coexisting of the development of Aspergillus infection and idiopathic pulmonary fibrosis in the light of the literature.

Keywords:

Aspergilloma, Cavity, Fungus ball, Idiopathic pulmonary fibrosis,

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