Resumen
Se relatan dos observaciones casuísticas:
En la primera, mujer de 28 años de edad, se encontró en un lóbulo pulmonar resecado una cavidad para-hiliar, en comunicación con los bronquios, que albergaba un aspergiloma, junto con un pequeño grano de arena, cuya naturaleza fué comprobada quimicamente.
La sintomatología pulmonar (hemoptisis repetidas) empezó con un suceso de atragantamiento, al tomar jugo, de ésto hace 18 años. Las hemoptisis se produjeron sólo en cierta posición acostada.
En un segundo caso, autopsia de un hombre de 50 años de edad, casualmente se encontró una bronconeumonía confluente bilateral, con micosis pulmonar (aparentemente aspergilosis) difusa y diseminación del hongo en la pleura.
La siembra focal en la pleura como hallazgo morfológico poco frecuente, motivó la publicación de éste caso.
Al final se hacen breves comentarios sobre la clasificación de la aspergilosis pulmonar.
Summary
The Authors report on two cases of aspergillosis of the lung and of lung and pleura, respectively.
In the first case (a woman, 28 years old) a para-hilar cavity was found in a lobolus of the lung which had been surgically removed. The cavity was connected with the bronchial system and contained on aspergilloma close to a small sand particle the nature of which was chemically confirmed. Clinical symptoms (repeated hemoptisis) had been present for 18 years after the patient had severely swallowed the wrong way. Occurrence of hemoptoic attacks was dependent on a certain lying position of the patient.
In the second case (autopsy of a man, 50 years old) a confluent bilateral broncho-pneumonia was recorded with a diffuse pulmonary mycosis (apparently aspergillosis) secondarily disseminated over the pleura. The latter morphological observation (disseminated spread of fungus over the pleura) has not been made very frequently and motivated the publication of this case.
Concluding the report, a short discussion on the classification of pulmonary Aspergillosis is attached.
This is a preview of subscription content, log in via an institution to check access.
Bibliografia
Angulo Ortega, A. (1958): Caso presentado en Barquisimeto/Venez.
Bouffard &Brumpt, E. (1949): Précis de Parasitologie. Tomo II 6a edic., Masson, Paris.
Brunner, A. (1959): Zur Pathogenese des sog. Aspergilloms. Thoraxchir.7, 274.
Ciferri, R. (1960): Manuale di Micologia Medica. Tomo II. R. Cortina, Pavia.
Conant, N. F., Smith, D. T., Baker, R. D., Callaway, J. M. &Marin, D. S. (1954): Manual of Clinical Mycology 2nd ed.
Cooper, N. S. (1946): Acute Bronchopneumonia due to Aspergillus Fumigatus Fresenius. Report of case with description of acute and granulomatous lesions produced by fungus in Rabbits. Arch. Path.42, 644.
Enjalbert, L., Segretain, C., Eschapasse, H. Moreau, G. &Bourdin, M. (1957): Deux cas d'aspergillose pulmonaire. Etude anatomo-pathologique. Sem. Hôp., 830.
Finegold, S. M., Will, D. &Murray, J. F. (1959): Aspergillosis. A review and report of twelve cases. Amer. J. Med.27, 3, 463.
Monod, V. G., Pesle &Segretain, G. (1951): Press. med.59, 74.
Naji, A. F. (1959): Bronchopulmonary aspergillosis. Report of two new cases: review of literature and suggestion for classification. Arch. Path.68, 282.
Olk, W. (1958): Bronchogene generalisierte Aspergillose. Zbl. allg. Path. path. Anat.97, 361.
Parini, F., Sprovieri, L. &Sfondrini, G. (1957): Micosi bronchiali postumi di exeresi polmonari. Nota preventiva. Giron. di malattie infettive e parassitarieIX, 7, 393.
Rominger, L. &Boehm, F. (1955): Über einen Fall von generalisierter pyaemischer Aspergillose. Beitr. klin. Tbc.113, 221.
Segretain, G. &Vieu, M. (1957): Formes parasitaires des aspergillus dans l'aspergillome bronchique; Diagnostic biologique des aspergilloses bronchopulmonaires. Sem. Hôp., 421.
Vellios, F., Crawford, A. S., Gatzimos, C. D. &Haynes, E. (1957): Bronquial Aspergillosis occuring as an intracavitary „Fungus Ball“. Amer. J. Clin. Path.27, 68.
Virchow, R. (1885): Arch. path. Anat.9, 557.
Waetjen, J. (1931): Handb. Spez. Path. Anat. u. Hist.III, 3, 483.
Wegmann, T. (1956): Handb. Inn. Med.IV, 3, 680.
Author information
Authors and Affiliations
Additional information
Trabajo presentado en forma abreviada en el II Congreso Latinoamericano de Anatomía Patológica, São Paulo, Brasil, 1958 y en el IV Congreso Venezolano de Tisiología y Neumonología 1959, Valencia, Venezuela.
Rights and permissions
About this article
Cite this article
Salfelder, K., Capretti, C., Hartung, M. et al. 2 Casos Poco Comunes de Aspergilosis Pulmonary y Pleural. Mycopathologia et Mycologia Applicata 14, 78–92 (1961). https://doi.org/10.1007/BF02051457
Issue Date:
DOI: https://doi.org/10.1007/BF02051457