A 68-year-old man with remote pulmonary tuberculosis presents with hemoptysis, fever (38.2°C), and tachycardia (HR 102). Vital signs show BP 138/82, RR 22, SpO2 94% on room air. Chest CT demonstrates a cavitary lesion in the right upper lobe with a mobile intracavitary mass. Fungal culture grows Aspergillus fumigatus. WBC is 7,800/μL. He denies dyspnea or chest pain. Which of the following is the most likely diagnosis?
- A)Aspergillus endocarditis
- B)Acute invasive aspergillosis
- C)Exacerbation of chronic bronchitis
- D)Aspergillus osteomyelitis
- E)Aspergilloma with secondary bacterial superinfectionGABARITO
Explicação
Aspergilloma (fungal ball) is a common complication of pre-existing cavitary lung disease, particularly post-tuberculosis cavities. Mobile mass within cavity on imaging, positive fungal culture, and hemoptysis are classic. Usually does not require treatment un... Ver explicação completa e trilha adaptativa →