Bronchoscopic view of a deep bronchial ulcer in a lung transplant patient. Biopsies through the ulcer yielded cartilage with hyphae invading it. Fungal cultures of bronchial lavage grew Aspergillus fumigatus. He responded to oral itraconazole therapy.
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Notes:
This patient was reported in Kramer MR, Denning DW, Marshall SE, Ross D, Berry G, Lewiston N, Stevens DA, Theodore J. Ulcerative tracheobronchitis following lung transplantation: a new form of invasive aspergillosis. Am Rev Resp Dis 1991; 144: 552-556.
The following images were obtained by endoscopy of falcons with aspergillosis. A Lung Worm (serratospiculum sp.) B Lying in betweeen loops of the intestine.C An aspergillus lesion in between the loops of the intestineD Showing cranial pole of left kidney, ovary and oviduct.
