Invasive aspergillosis in the aortic arch with infectious Aspergillus lesions in pulmonary bullae
2015
Isao Watanabe | Takahisa Nakayama | Eiji Yamada | Mitsuhiro Tsukino | Eiichi Hayashi
A patient with pulmonary bullae died of massive hemoptysis. At autopsy a hole was observed in the aortic wall. A microscopic examination indicated small Aspergillus lesions in pulmonary bullae and extensive necrotic lesions with Aspergillus hyphae in the media of the thoracic aorta. These findings led to a diagnosis of invasive aspergillosis in the aortic arch. This is a rare case in which Aspergillus invaded the aorta in a patient without hematologic neoplasms or neutropenia.
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