Thoracic Research and Practice
Clinical Study

Pulmonary Aspergilloma in a Turkish Hospital Population

1.

Departments of Chest Diseases of SSK Süreyyapaşa Chest Diseases and Cardiovascular Thoracic Surgery Center, Istanbul, Turkey

2.

Department of Internal Medicine of Marmara University School of Medicine, Istanbul, Turkey

3.

Departments of Thoracic Surgery of SSK Süreyyapaşa Chest Diseases and Cardiovascular Thoracic Surgery Center, Istanbul, Turkey

Thorac Res Pract 2002; 3: Turkish Respiratory Journal 7-14
Read: 461 Downloads: 294 Published: 08 October 2021

Aiming to investigate the association between pulmonary aspergilloma and a history of pulmonary tuberculosis, 14 aspergilloma cases (10 males, 4 females) were identified from the patient files of our hospital between 1992-1998. Thirteen of these patients (%93) had a history of tuberculosis with post-tuberculous cavities and 1 patient had a history of diabetes mellitus and ade­nocarcinoma of the lung. Ten patients had radiographical changes consistent with aspergilloma. Sputum samples had been taken from 12 patients and 7 (%58) were positive for aspergillus on bacteriological smear. Bronchoscopy was performed in 12 patients and 9 were positive for aspergillus in both bronchoalveo­lar lavage material and tissue biopsy specimens.Ten patients with recurrent haemoptysis underwent thoracotomy and 1 patient underwent arterial embolization. Despite recurrent haemoptysis, surgical intervention could not be carried out in one patient due to his poor ventilation peformance score. Two patients were followed-up in the outpatient clinic without any intervention.This study has shown that in our hospital population, aspergilloma cases mostly appear in patients with post-tubercu­lous cavities rather than patients with other diseases leading to deficiencies in immunocompetence.

Files
EISSN 2979-9139