Pseudomembranous Aspergillus Tracheobronchitis Presenting as Peri-bronchial Mass with Segmental Collapse Secondary to Levamisole Induced Neutropenia

Premandh A Kannada; Mayank Vats; Tariq Qureshi; Bassam Mahboub; Walid Mahmoud

Volume : VIII, Issue : III, March - 2019

Pseudomembranous Aspergillus Tracheobronchitis Presenting as Peri-bronchial Mass with Segmental Collapse Secondary to Levamisole Induced Neutropenia

Premandh A Kannada, Mayank Vats, Tariq Qureshi, Bassam Mahboub, Walid Mahmoud

Abstract :

Pseudomemanous necrotizing onchial aspergillosis is a variety of invasive pulmonary aspergillosis found in immunosuppressed patients. It is an uncommon clinical presentation of pulmonary aspergillosis (PA). Predisposing factors are similar to those for invasive pulmonary aspergillosis (IPA). Neutropenic or immunocompromised patients including patients with cytotoxic chemotherapy or corticosteroid therapy are at particular risk. Levamisole is known to cause severe agranulocytosis. We report a case of Pseudomemanous Aspergillus Tracheoonchitis (PMATB) presenting as hilar mass with lobar collapse in a patient who received Levamisole as an immunomodulator for the treatment of Alopecia totalis