Olgu Bildirisi: Anjioinvazif Pulmoner Aspergillozis, BT VE MRG Bulguları

Angioinvasive Pulmonary Aspergillosis: CT and MRI Findings Pulmonary aspergillosis is rare but potentially fatal infectious disease which is seen in immune compromised patients. Most of the cases are seen in patients who used chemotheraphy for hematological malignancies, bone marrow or solid organ transplant patients, patients with primer immune deficiency. The patient's immune system and the morphological changes in lungs determine course of infection. Angioinvasive pulmonary aspergillosis (invasive pulmonary aspergillosis) is usually seen in patients with neutropenia and late diagnosis can be fatal. With this case we discussed the radiological findings and the course of rapid growing pulmonary aspergillosis in a 5 year old patient with acute lymphoblastic leuchemia who applied with neutropenia, cough and high fever. Magnetic resonance imaging findings done to avoid the harmful affects of radiation because of lung roentgenograms and computerized tomography were also discussed. Pulmoner aspergillozis immun sistemi baskilanmis hastalarda nadir, fakat potansiyel olarak fatal bir enfeksiyondur. Vakalarin cogunlugu hematolojik malignensiler nedeniyle kemotera-pi alan hastalar, kemik iligi veya solid organ transplantasyonu yapilan hastalar ve primer immun yetmezligi bulunan cocuklardir. Enfeksiyon tablosu hastanin immun sisteminin durumuna yada tutulan akcigerlerdeki yapisal degisiklilere baglidir. Anjioinvazif aspergillozis (invazif pulmoner aspergillozis) genellikle ciddi notropenili hastalarda ortaya cikan, tanisi gecikirse mortalitesi yuksek bir durumdur. Oksuruk ve ates yuksekligi sikayeti nedeniyle bas vuran ve akut lenfoblastik losemi nedeniyle takip edilen ciddi notropenili 5 yasindaki cocuk hastada, hizli gelisen anjioinvasif as-pergillozisin radyolojik bulgulari ve seyri tartisilmistir. Ayrica takipte sik akciger grafisi ile bilgisayarli tomografi ye bagli radyasyon alimini azaltmak amaciyla degisik zamanlarda yapilan manyetik rezonans goruntuleme bulgulari da literaturun isiginda tartisilmistir.