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

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

Volume: 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

Affiliation:

• Department of Anaesthesiology, School of Medical Sciences, Universiti Sains Malaysia Health Campus, 16150 Kota Bharu, Kelantan,Malaysia

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

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.

Cite this article as:

Mazlan Zulfakar Mohd*, Nik Mohamad Abdullah Nik, Hassan Hasyizan Mohamad, Ali Saedah, W Hassan Nazarudin W Mohd, Mukmin Ab Laila, Mohd Zaini Hardy Rhendra, Marzuki Ariffin, Nadarajan Chandran, Mamat Zuhdi Ahmad, Besari Muhd Alwi, Ayub Salmuna Zeti Norfidiyati and Harun Azian, A Fatal Case of Immunocompetent Aspergilloma: Bronchial Artery Embolization Fail to Halt Recurrent Hemoptysis, Current Respiratory Medicine Reviews 2018; 14 (3) . https://dx.doi.org/10.2174/1573398X14666181010150100