Pulmonary Aspergillosis in Cystic Fibrosis Lung Transplant Recipients

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Presentation transcript:

Pulmonary Aspergillosis in Cystic Fibrosis Lung Transplant Recipients David R. Nunley, MD, FCCP, N. Paul Ohori, MD, Wayne F. Grgurich, BS, Aldo T. Iacono, MD, Princess A. Williams, MD, Robert J. Keenan, MD, James H. Dauber, MD, FCCP  CHEST  Volume 114, Issue 5, Pages 1321-1329 (November 1998) DOI: 10.1378/chest.114.5.1321 Copyright © 1998 The American College of Chest Physicians Terms and Conditions

FIGURE 1 Diagram detailing Aspergillus infections in 31 CF lung recipients. CHEST 1998 114, 1321-1329DOI: (10.1378/chest.114.5.1321) Copyright © 1998 The American College of Chest Physicians Terms and Conditions

FIGURE 2 Endobronchial biopsy specimen of the surgical bronchial anastomosis revealing tissue invasive Aspergillus hyphae (Grocott stain). CHEST 1998 114, 1321-1329DOI: (10.1378/chest.114.5.1321) Copyright © 1998 The American College of Chest Physicians Terms and Conditions

FIGURE 3 Postmortem examination of the lung allograft in a recipient with Aspergillus infection of the bronchial anastomosis who died of massive hemoptysis. The probe (large arrow) is through the defect in the bronchus leading to the bronchial artery. The anastomotic site is designated by the small arrow. CHEST 1998 114, 1321-1329DOI: (10.1378/chest.114.5.1321) Copyright © 1998 The American College of Chest Physicians Terms and Conditions

FIGURE 4 Aspergillus infections in CF lung recipients. CHEST 1998 114, 1321-1329DOI: (10.1378/chest.114.5.1321) Copyright © 1998 The American College of Chest Physicians Terms and Conditions

FIGURE 5 Diagram detailing Aspergillus infections in non-CF lung recipients. CHEST 1998 114, 1321-1329DOI: (10.1378/chest.114.5.1321) Copyright © 1998 The American College of Chest Physicians Terms and Conditions

FIGURE 6 Aspergillus infections in all lung recipients. CHEST 1998 114, 1321-1329DOI: (10.1378/chest.114.5.1321) Copyright © 1998 The American College of Chest Physicians Terms and Conditions