Document Detail

A mycotic pulmonary artery aneurysm presenting as an endobronchial mass.
MedLine Citation:
PMID:  14555599     Owner:  NLM     Status:  MEDLINE    
We report the case of a 49-year-old woman who developed an endobronchial mycotic pulmonary artery aneurysm (PAA) as a complication of pneumonia. After presenting with patchy infiltrates, she developed right lung atelectasis. A noncontrast chest CT scan revealed a mass in the right hilum, and bronchoscopy identified an obstructing lesion in the right mainstem bronchus. Unfortunately, biopsy caused massive hemorrhage, and the patient died. An autopsy identified a mycotic PAA that had invaded the right mainstem. The case suggests that a contrasted CT scan should be included in the evaluation of endobronchial masses and that PAA should be included in the differential diagnosis of such lesions.
Mark T Dransfield; James E Johnson
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Chest     Volume:  124     ISSN:  0012-3692     ISO Abbreviation:  Chest     Publication Date:  2003 Oct 
Date Detail:
Created Date:  2003-10-13     Completed Date:  2003-12-01     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0231335     Medline TA:  Chest     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1610-2     Citation Subset:  AIM; IM    
University of Alabama at Birmingham, Birmingham, AL, USA.
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MeSH Terms
Aneurysm, Infected / complications,  diagnosis*
Bronchial Diseases / complications,  etiology*
Middle Aged
Pulmonary Artery*
Streptococcal Infections / complications,  diagnosis*
Viridans Streptococci*

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