Pleuritis clinically diagnosed as Aspergillosis during the course of microscopic polyangiitis

Yasutaka Kimoto, Kensuke Oryoji, Ayumi Uchino, Shigeru Yoshizawa, Hiroaki Niiro, Hiroshi Tsukamoto, Takahiko Horiuchi

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)

Abstract

Pleural aspergillosis is a rare fungal infection. We herein report a case of pleuritis clinically diagnosed as aspergillosis without apparent Aspergillus lung lesions. A 75-year-old man receiving immunosuppressive therapy due to microscopic polyangiitis was admitted for treatment of massive pleural effusion. Histology of the parietal pleura revealed septate hyphae. In addition, a hematological marker of Aspergillus indicated Aspergillus pleuritis. The pleural effusion resolved after administration of the voriconazole. The trigger for invasion of Aspergillus into the pleura was thought to be spontaneous pneumothorax, which had occurred five months earlier.

Original languageEnglish
Pages (from-to)2821-2824
Number of pages4
JournalInternal Medicine
Volume53
Issue number24
DOIs
Publication statusPublished - Dec 15 2014

All Science Journal Classification (ASJC) codes

  • Internal Medicine

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