Aspergilloma Superimposed Infection on Lymphoid Interstitial Pneumonia.

Case Reports in Emergency Medicine Pub Date : 2020-01-18 eCollection Date: 2020-01-01 DOI:10.1155/2020/3151036
Daniel Tran, Rajagopalan Rengan, James Lee, Alan Lucerna, James Espinosa
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Abstract

We describe a case of a 27-year-old female without any prior underlying immunodeficiency syndromes who presented with hemoptysis secondary to subacute invasive pulmonary aspergillosis and subsequently diagnosed with lymphoid interstitial pneumonia (LIP). CT chest demonstrated bilateral interstitial disease with patchy opacities and multiple large cysts and bullae. Diagnosis was confirmed histologically after surgical lung resection of the mycetoma containing cavitation. Therefore, LIP should be suspected in patients presenting with opportunistic infections in the setting of cystic lung disease.

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淋巴间质性肺炎曲菌肿叠加感染。
我们描述了一个27岁的女性病例,没有任何潜在的免疫缺陷综合征,她以亚急性侵袭性肺曲霉病继发咯血,随后被诊断为淋巴样间质性肺炎(LIP)。胸部CT示双侧间质病变伴斑片状混浊及多发大囊肿和大泡。肺切除术后病理证实为肺内空化菌足肿。因此,在囊性肺疾病背景下出现机会性感染的患者应怀疑LIP。
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