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A Fatal Case of Immunocompetent Aspergilloma: Bronchial Artery Embolization Fail to Halt Recurrent Hemoptysis

[ Vol. 14 , Issue. 3 ]

Author(s):

Mohd Zulfakar Mazlan*, Nik Abdullah Nik Mohamad, Mohamad Hasyizan Hassan, Saedah Ali, W Mohd Nazarudin W Hassan, Laila Ab Mukmin, Rhendra Hardy Mohd Zaini, Ariffin Marzuki, Chandran Nadarajan, Ahmad Zuhdi Mamat, Alwi Muhd Besari, Zeti Norfidiyati Salmuna Ayub and Azian Harun   Pages 181 - 183 ( 3 )

Abstract:


Aspergillus is an organism responsible for aspergilloma. Massive hemoptysis, which is a life-threatening symptom in a patient with pulmonary aspergilloma, is difficult to treat. Options for definitive treatment include bronchial artery embolization and surgical removal by thoracotomy. We report a 40-year-old housewife with no past medical illness, who presented with recurrent hemoptysis caused by multiple bilateral pulmonary aspergilloma who underwent repeated embolization in combination with systemic antifungal therapy. Prompt diagnosis and bronchial artery embolization was successful in embolizing the feeding vessel; however, it failed to reduce morbidity and mortality caused by recurrent pulmonary hemorrhage.

Keywords:

Aspergilloma, bronchial artery embolization, hemoptysis, massive hemoptysis, HIV.

Affiliation:

Department of Anaesthesiology, School of Medical Sciences, Universiti Sains Malaysia Health Campus, 16150 Kota Bharu, Kelantan, Department of Anaesthesiology, School of Medical Sciences, Universiti Sains Malaysia Health Campus, 16150 Kota Bharu, Kelantan, Department of Anaesthesiology, School of Medical Sciences, Universiti Sains Malaysia Health Campus, 16150 Kota Bharu, Kelantan, Department of Anaesthesiology, School of Medical Sciences, Universiti Sains Malaysia Health Campus, 16150 Kota Bharu, Kelantan, Department of Anaesthesiology, School of Medical Sciences, Universiti Sains Malaysia Health Campus, 16150 Kota Bharu, Kelantan, Department of Anaesthesiology, School of Medical Sciences, Universiti Sains Malaysia Health Campus, 16150 Kota Bharu, Kelantan, Department of Anaesthesiology, School of Medical Sciences, Universiti Sains Malaysia Health Campus, 16150 Kota Bharu, Kelantan, Department of Anaesthesiology, School of Medical Sciences, Universiti Sains Malaysia Health Campus, 16150 Kota Bharu, Kelantan, Department of Radiology, School of Medical Sciences, Universiti Sains Malaysia Health Campus, 16150 Kota Bharu, Kelantan, Department of Surgery, School of Medical Sciences, Universiti Sains Malaysia Health Campus,16150 Kota Bharu, Kelantan, Department of Medicine, School of Medical Sciences, Universiti Sains Malaysia Health Campus, 16150 Kota Bharu, Kelantan, Department of Microbiology and Parasitology, School of Medical Sciences, Universiti Sains Malaysia Health Campus, 16150 Kota Bharu, Kelantan, Department of Microbiology and Parasitology, School of Medical Sciences, Universiti Sains Malaysia Health Campus, 16150 Kota Bharu, Kelantan

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