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A Case Series of Chronic Necrotizing Pulmonary Aspergillosis and a New Proposal
http://hdl.handle.net/10069/33763
http://hdl.handle.net/10069/33763d5e88303-e130-4569-8fb1-79535d5e7397
名前 / ファイル | ライセンス | アクション |
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JID66_312.pdf (476.4 kB)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2013-09-20 | |||||
タイトル | ||||||
タイトル | A Case Series of Chronic Necrotizing Pulmonary Aspergillosis and a New Proposal | |||||
言語 | ||||||
言語 | eng | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | chronic necrotizing pulmonary aspergillosis | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | chronic cavitary pulmonary aspergillosis | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | chronic progressive pulmonary aspergillosis | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | journal article | |||||
著者 |
Tashiro, Takayoshi
× Tashiro, Takayoshi× Izumikawa, Koichi× Tashiro, Masato× Morinaga, Yoshitomo× Nakamura, Shigeki× Imamura, Yoshifumi× Miyazaki, Taiga× Kakeya, Hiroshi× Yamamoto, Yoshihiro× Yanagihara, Katsunori× Hayashi, Tomayoshi× Nagayasu, Takeshi× Kohno, Shigeru |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Chronic necrotizing pulmonary aspergillosis (CNPA) is an indolent, cavitating process in the lungs resulting from invasion of lung tissue by Aspergillus spp. However, most previous reports have not found any clear evidence of parenchymal invasion, and clinical distinction between CNPA and chronic cavitary pulmonary aspergillosis (CCPA) is difficult. We performed a histopathological study of lung specimens obtained by autopsy, surgical resection, or biopsy to clarify the characteristic pathological and clinical features of CNPA. We present 4 cases of proven CNPA, diagnosed by histological demonstration of tissue invasion by the fungus, and present its clinical features. These 4 patients were male, and the mean age was 62 years (range, 51-75 years). Their underlying conditions were chronic obstructive pulmonary disease (n = 3), sequelae of pulmonary tuberculosis (n = 2), and diabetes mellitus (n = 1). Aspergillus precipitation tests were positive for 3; and Aspergillus antigen tests were positive for 2 on admission, and subsequently, for all 4. The isolated pathogens were Aspergillus niger for 1 and A. fumigatus for 1. Initial radiographic findings were infiltrates or nodular lesions, which slowly progressed and cavitated before the appearance of fungus balls. Although CNPA has characteristic pathological features, it is clinically difficult to distinguish CNPA from CCPA. We propose to use the term chronic progressive pulmonary aspergillosis for both CNPA and CCPA. | |||||
書誌情報 |
Japanese Journal of Infectious Diseases 巻 66, 号 4, p. 312-316, 発行日 2013-07-24 |
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出版者 | ||||||
出版者 | 国立感染症研究所 | |||||
出版者別言語 | ||||||
National Institute of Infectious Diseases | ||||||
ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 13446304 | |||||
DOI | ||||||
関連タイプ | isIdenticalTo | |||||
識別子タイプ | DOI | |||||
関連識別子 | 10.7883/yoken.66.312 | |||||
著者版フラグ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
引用 | ||||||
内容記述タイプ | Other | |||||
内容記述 | Japanese Journal of Infectious Diseases, 66(4), pp.312-316; 2013 |