書誌事項
- タイトル別名
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- A case of pulmonary aspergillosis discovered due to calcium oxalate crystals in bronchial brushing cytological specimens.
説明
Background: It is difficult to diagnose pulmonary aspergillosis when no mycelium is found in histological specimens. We report here a case of pulmonary aspergilloma which was diagnosed by crystals in cytological specimens.<BR>Case: A 64-year-old man with diabetes was admitted to our hospital on Oct. 14, 1997, because of cough, fever, and hemosputum. The chest roentogenographs showed a cavity with inflammatory changes at the upper and middle lesion of the right lung, a finding consistent with the presence of pulmonary tuberculosis. Bronchial brushing and washing smear revealed inflammatory exudate and numerous birefringent crystals which formed a sheath of needle-like crystals. Crystals which were colorless, and formed rosette, butterfly, pine needle, and flat structures were identified as calcium oxalate by histochemical analysis. As these findings sug-gested the presence of mycelia, a second bronchial fiberscopy was performed. Aspergillus niger was isolated by culture from the specimen obtained on the second bronchial fibers-copy. Interestingly, isolated Aspergillus niger was found to produce. calcium oxalate in the culture medium.<BR>Conclusion: Even though mycelium is not detected in pulmonary cytological specimens, the finding of birefringent sheaf-like calcium oxalate crystals with inflammatory exudate suggests the presence of Aspergillus infection.
収録刊行物
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- 日本臨床細胞学会雑誌
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日本臨床細胞学会雑誌 38 (5), 431-435, 1999
公益社団法人 日本臨床細胞学会
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詳細情報 詳細情報について
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- CRID
- 1390001204691556864
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- NII論文ID
- 130003926606
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- ISSN
- 18827233
- 03871193
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- Crossref
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可
