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(Chest. 2006;129:475-479.)
© 2006 American College of Chest Physicians

Cavitating Invasive Pulmonary Aspergillosis Visualized and Diagnosed by Ultrathin Bronchoscopy*

Masahide Oki, MD; Hideo Saka, MD, FCCP; Chieko Sako, MD; Shigeru Tanaka, MD; Yoshihiro Kawata, MD; Chiyoe Kitagawa, MD and Nobuyoshi Minemura, MD

* From the Departments of Respiratory Medicine (Drs. Oki, Saka, Sako, Tanaka, Kawata, and Kitagawa) and Internal Medicine (Dr. Minemura), Nagoya Medical Center, Nagoya, Japan.

Correspondence to: Masahide Oki, MD, Department of Respiratory Medicine, Nagoya Medical Center, 4-1-1 Sannomaru, Naka-ku, Nagoya 460-0001, Japan; e-mail: Masahideo{at}aol.com

A definitive diagnosis of invasive pulmonary aspergillosis (IPA), which usually occurs in immunocompromised patients, is often difficult. We report two cases of cavitating IPA in a peripheral pulmonary region in patients who were receiving corticosteroids, in whom the cavity was successfully visualized and sampled during ultrathin bronchoscopy. Ultrathin bronchoscopy provides a new option for definitive diagnosis of cavitating IPA.

Key Words: bronchoscopy • cavity • invasive pulmonary aspergillosis • transbronchial biopsy • ultrathin bronchoscope






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