@entity1224 and XXXX due to Aspergillus tracheobronchitis.

@entity1 @entity706 @entity519 @entity1315 @entity358 @entity1729 @entity1576 @entity1224
OBJECTIVE: To report a @entity1 with @entity706 who developed Aspergillus tracheobronchitis resulting in @entity1224 and @entity1576 . DESIGN: Case report. SETTING: Intensive care unit of a tertiary care hospital. @entity1 : A 22-yr-old female with @entity706 who developed a @entity1729 3 months after completing immunosuppressive therapy. She was treated empirically with broad spectrum antibiotics and subsequently received a supplementary chemotherapeutic course. Soon afterward she developed severe @entity1576 . Chest radiograph showed @entity1315 . INTERVENTIONS: Emergent mechanical ventilation; fiberoptic bronchoscopy. MEASUREMENTS AND MAIN RESULTS: Fiberoptic bronchoscopy revealed extensive obstruction of both main and subsegmental bronchi with a solid mass strongly adhered to the bronchial wall; both histologic examination and culture of that mass revealed Aspergillus. The @entity1 died of refractory @entity519 a few days later. CONCLUSIONS: Aspergillus tracheobronchitis should be considered in immunocompromised @entity1 with suspected @entity358 even when the main radiographic finding is atelectasis. Bronchoscopy and histologic examination of identified intraluminal material should be performed as soon as possible.
