Pulmonary aspergilloma coexisting with hamartoma in post pulmonary tuberculosis: A case report
Introduction: Aspergillosis is a fungal disease caused by the Aspergillus fumigatus. Until now, the management of aspergilloma is still controversial, and there is no consensus among experts. Hamartoma is a benign tumor that can be found in the lung. We report a case of pulmonary aspergilloma coinci...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-01-01
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| Series: | Respiratory Medicine Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213007122001605 |
| _version_ | 1811180325856870400 |
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| author | Kristin Purnama Dewi Ivana Purnama Dewi Iswanto Yovita Citra Eka Dewi Djatioetomo Lyndon Darwin Ariani Permatasari |
| author_facet | Kristin Purnama Dewi Ivana Purnama Dewi Iswanto Yovita Citra Eka Dewi Djatioetomo Lyndon Darwin Ariani Permatasari |
| author_sort | Kristin Purnama Dewi |
| collection | DOAJ |
| description | Introduction: Aspergillosis is a fungal disease caused by the Aspergillus fumigatus. Until now, the management of aspergilloma is still controversial, and there is no consensus among experts. Hamartoma is a benign tumor that can be found in the lung. We report a case of pulmonary aspergilloma coincidentally with hamartoma in pulmonary tuberculosis (TB) patients. Aspergilloma and hamartoma diagnoses are challenging because of various clinical symptoms. Case report: A 46 years old man came to emergency unit with complaints shortness of breath, cough, and chest tightness. He also has a red-black blood streak and terrible odor sputum. He had a history of two episodes of pulmonary TB. Holistic physical and additional examinations were done. Patient was diagnosed with aspergillosis infection in post pulmonary TB. The patient was then undergoing surgery. From the pathology of lung tissue, we found hamartoma features. Antifungal, antibiotic, and supported therapy were given, and his condition improved after a month of hospitalization. Conclusion: Pulmonary aspergilloma and hamartoma coincidence are rare diseases. Aspergilloma diagnosis is made based on clinical symptoms, radiological, and serological examination. Pulmonary hamartoma is generally asymptomatic. In this case, hamartoma was incidentally found in pathology examination. Prompt and precise diagnosis with good therapeutic management yield favorable outcomes. |
| first_indexed | 2024-04-11T09:01:11Z |
| format | Article |
| id | doaj.art-f5b1dbc3b814496d9c7a2dcbcbf16e02 |
| institution | Directory Open Access Journal |
| issn | 2213-0071 |
| language | English |
| last_indexed | 2024-04-11T09:01:11Z |
| publishDate | 2022-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Respiratory Medicine Case Reports |
| spelling | doaj.art-f5b1dbc3b814496d9c7a2dcbcbf16e022022-12-22T04:32:47ZengElsevierRespiratory Medicine Case Reports2213-00712022-01-0139101738Pulmonary aspergilloma coexisting with hamartoma in post pulmonary tuberculosis: A case reportKristin Purnama Dewi0Ivana Purnama Dewi1 Iswanto2Yovita Citra Eka Dewi Djatioetomo3Lyndon Darwin4Ariani Permatasari5Department of Pulmonology and Respiratory Medicine, Faculty of Medicine, Airlangga University - Dr. Soetomo General Hospital, Surabaya, Indonesia; Faculty of Medicine, Duta Wacana Christian University, Yogyakarta, Indonesia; Corresponding author. Jalan Mayjen Prof. Dr. Moestopo No.6-8, Surabaya, 60286, Indonesia.Department of Cardiology and Vascular, Faculty of Medicine, Airlangga University - Dr. Soetomo General Hospital, Surabaya, Indonesia; Faculty of Medicine, Duta Wacana Christian University, Yogyakarta, IndonesiaFaculty of Medicine, Duta Wacana Christian University, Yogyakarta, IndonesiaDepartment of Pulmonology and Respiratory Medicine, Faculty of Medicine, Airlangga University - Dr. Soetomo General Hospital, Surabaya, IndonesiaDepartment of Thoracic and Cardiovascular Surgery, Faculty of Medicine, Airlangga University - Dr. Soetomo General Hospital, Surabaya, IndonesiaDepartment of Pulmonology and Respiratory Medicine, Faculty of Medicine, Airlangga University - Dr. Soetomo General Hospital, Surabaya, IndonesiaIntroduction: Aspergillosis is a fungal disease caused by the Aspergillus fumigatus. Until now, the management of aspergilloma is still controversial, and there is no consensus among experts. Hamartoma is a benign tumor that can be found in the lung. We report a case of pulmonary aspergilloma coincidentally with hamartoma in pulmonary tuberculosis (TB) patients. Aspergilloma and hamartoma diagnoses are challenging because of various clinical symptoms. Case report: A 46 years old man came to emergency unit with complaints shortness of breath, cough, and chest tightness. He also has a red-black blood streak and terrible odor sputum. He had a history of two episodes of pulmonary TB. Holistic physical and additional examinations were done. Patient was diagnosed with aspergillosis infection in post pulmonary TB. The patient was then undergoing surgery. From the pathology of lung tissue, we found hamartoma features. Antifungal, antibiotic, and supported therapy were given, and his condition improved after a month of hospitalization. Conclusion: Pulmonary aspergilloma and hamartoma coincidence are rare diseases. Aspergilloma diagnosis is made based on clinical symptoms, radiological, and serological examination. Pulmonary hamartoma is generally asymptomatic. In this case, hamartoma was incidentally found in pathology examination. Prompt and precise diagnosis with good therapeutic management yield favorable outcomes.http://www.sciencedirect.com/science/article/pii/S2213007122001605AspergillomaPulmonary tuberculosisHamartomaDiagnosisManagement |
| spellingShingle | Kristin Purnama Dewi Ivana Purnama Dewi Iswanto Yovita Citra Eka Dewi Djatioetomo Lyndon Darwin Ariani Permatasari Pulmonary aspergilloma coexisting with hamartoma in post pulmonary tuberculosis: A case report Respiratory Medicine Case Reports Aspergilloma Pulmonary tuberculosis Hamartoma Diagnosis Management |
| title | Pulmonary aspergilloma coexisting with hamartoma in post pulmonary tuberculosis: A case report |
| title_full | Pulmonary aspergilloma coexisting with hamartoma in post pulmonary tuberculosis: A case report |
| title_fullStr | Pulmonary aspergilloma coexisting with hamartoma in post pulmonary tuberculosis: A case report |
| title_full_unstemmed | Pulmonary aspergilloma coexisting with hamartoma in post pulmonary tuberculosis: A case report |
| title_short | Pulmonary aspergilloma coexisting with hamartoma in post pulmonary tuberculosis: A case report |
| title_sort | pulmonary aspergilloma coexisting with hamartoma in post pulmonary tuberculosis a case report |
| topic | Aspergilloma Pulmonary tuberculosis Hamartoma Diagnosis Management |
| url | http://www.sciencedirect.com/science/article/pii/S2213007122001605 |
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