Kenichiro Shimizu, Hiroshi Takeda, Hisakazu Tai, Mitsuhiro Tozaki, Tomokiyo Nomura, Takeshi Fujii, Akira Hebisawa
A 67-year-old man with a past history of pulmonary tuberculosis had been referred to our department complaining of bloody sputum. The chest radiograph on admission showed a cavity in the left upper lung field. Chest CT showed a mass-like fungus ball in the cavity. Pulmonary aspergillosis was diagnosed from the sputum mycology, serum Aspergillus antigen and antibody. Even though 150 mg per day Funguard (micafungin sodium) was given intravenously for 4 weeks, the pulmonary aspergillosis did not improve. Dynamic MRI obtained 20 seconds after intravenous injection of contrast material revealed penetrating vessels in the wall of the cavity, and dilated and proliferative vessels surrounding the cavitary lesion...
January 2006: Nihon Kokyūki Gakkai Zasshi, the Journal of the Japanese Respiratory Society