Pulmonary aspergillosis diagnosed by endoscopic ultrasound fine-needle aspiration

• Type: Article in International Scientific Journal
• Date: 2016

Authors

Rodrigues Pinto, E (Author) Other; Lopes, S (Author) Other; Principe, F (Author) Other; Costa, J (Author) Other; Macedo G (Author) FMUP

Journal

Title: Endoscopic Ultrasound

Vol. 5

Pages: 58-60

ISSN: 2303-9027

Publisher: Wolters Kluwer Health

Indexing

ISI Web of Knowledge - 5 Citations

Scopus - 5 Citations

Other information

Authenticus ID: P-00K-6EJ

DOI: 10.4103/2303-9027.175923

Abstract (EN): Pulmonary aspergillosis generally occurs in patients with prolonged neutropenia or immunosupression. Definitive diagnosis depends on the demonstration of the organism in tissue, as positive culture result from sputum, needle biopsy, or bronchoalveolar lavage fluid. Even though endoscopic ultrasound (EUS) fine needle aspiration (FNA) of paraesophageal/mediastinal lesions has been used numerous times, this is the first case that reports an aspergilloma diagnosed by EUS-FNA, allowing us to reach a definitive diagnosis. We present a patient with a nodular lesion located in the right upper lobe lung, with ground-glass opacity. Upper EUS revealed an ill-defined hypoechoic paraesophageal lesion with a central annular image. Culture results from EUS-FNA were positive for Aspergillus fumigatus. There are no previous reports of EUS imaging features of pulmonary aspergillosis. We believe that this central annular image in an ill-defined hypoechoic paraesophageal lesion may be a characteristic feature.

Language: English

Type (Professor's evaluation): Scientific

No. of pages: 3