신장 이식 환자에서 발병한 기관지내 아스페르길루스증 1예

• Published in: Kidney research and clinical practice Vol. 26; no. 4; pp. 508 - 512
• Main Authors: 허경미, Gyeong Mi Heo, 김원진, Won Jin Kim, 박동선, Dong Seon Park, 이정아, Jeong A Lee, 모은경, Eun Kyung Mo, 엄중식, Joong Sik Eom, 이삼열, Sam Uel Lee, 남은숙, Eun Sook Nam, 조성진, Seong Jin Cho, 오지은, Ji Eun Oh
• Format: Journal Article
• Language: Korean
• Published: 대한신장학회 30.07.2007
• Subjects: Aspergillosis; Neutropenia; Renal transplantation; 내과학
• ISSN: 2211-9132; 2211-9140

In immunocompromised renal transplant patients, aspergillosis can be a life-threatening opportunistic infection. Aspergillus is a ubiquitous organism in our environment, so pulmonary aspergillosis usually results from the ingrowths of the colonized Aspergillus in bronchial trees, pulmonary cysts or cavities. We have experienced a case of endobronchial aspergillosis developed in a renal transplant patient with neutropenia. Bronchoscopic biopsy revealed a necrotizing Aspergillus bronchitis in the orifice of the lateral segmental bronchus of left upper lobe. The patient received total 2,760 mg intravenous liposomal amphotericin B. There was no endobronchial lesion on follow up bronchoscopy and biopsy was also negative. This case serves as a reminder to clinicians that Aspergillus should be kept in mind as a possible infectious organism in renal transplant patients. Renal transplantation, Neutropenia, Aspergillosis