A microbiological and pathological study of bleeding bronchiectasis in pulmonary resection piece

Authors

  • Alfonzo Uribe-Barreto Hospital Nacional Dos de Mayo, Ministerio de Salud. Lima, Perú. Facultad de Medicina Humana, universidad Nacional Mayor de San Marcos, Lima, Perú. Facultad de Medicina Humana, universidad Nacional José faustino Sánchez Carrión. Huacho, Perú. Médico neumólogo.
  • Efrain Montesinos Hospital Nacional Dos de Mayo, Ministerio de Salud. Lima, Perú. Facultad de Medicina Humana, universidad Nacional Mayor de San Marcos, Lima, Perú. Cirujano de tórax y cardiovascular.
  • Vilma Bejar Facultad de Medicina Humana, universidad Nacional Mayor de San Marcos, Lima, Perú. Instituto de Medicina Tropical “Daniel A. Carrión”. Lima, Perú. Bióloga.
  • Gustavo Cerrillo Hospital Nacional Dos de Mayo, Ministerio de Salud. Lima, Perú. Médico patólogo clínico.
  • William Cornejo Facultad de Medicina Humana, universidad Nacional Mayor de San Marcos, Lima, Perú. Instituto de Medicina Tropical “Daniel A. Carrión”. Lima, Perú. Bióloga.
  • Luis Rojas-Peña Hospital Nacional Dos de Mayo, Ministerio de Salud. Lima, Perú. Cirujano de tórax y cardiovascular.
  • Cesar Morín Hospital Nacional Dos de Mayo, Ministerio de Salud. Lima, Perú. Facultad de Medicina Humana, universidad Nacional Mayor de San Marcos, Lima, Perú. Médico neumólogo.
  • Sergio Ricse Hospital Nacional Dos de Mayo, Ministerio de Salud. Lima, Perú. Médico residente de cirugía de tórax y cardiovascular.
  • Guido Chávez-Heredia Hospital Nacional Dos de Mayo, Ministerio de Salud. Lima, Perú. Médico residente de cirugía de tórax y cardiovascular.
  • Mónica Uribe-León Hospital Nacional Guillermo Almenara Irigoyen - EsSalud. Lima, Perú. Médico residente de cirugía general.
  • Américo Peña-Oscuvilca Facultad de Medicina Humana, universidad Nacional José faustino Sánchez Carrión. Huacho, Perú. Sociedad Científica Huachana de Estudiantes de Medicina. Huacho, Perú. Estudiante de medicina.

DOI:

https://doi.org/10.17843/rpmesp.2009.261.1330

Keywords:

Bronchiectasis, Tuberculosis, pulmonary, Aspergillus, Hemoptysis

Abstract

The recurrent hemoptysis in patients with bleeding bronchiectasis are a risk factor of death; but also there is high ignorance for the medical community about the existence of other opportunistic agents, and not only tuberculosis, that can produce them. Objectives. To describe the histopathological and microbiological characteristics of a series of bleeding patients with bronchiectasis that were negative for tuberculosis, HIV and cancer in preliminary studies. Material and methods. We developed a pathological and microbiological evaluation in search of fungi, tuberculosis, lung neoplasia and common germs; in 24 surgical patients with hemoptysis of bleeding bronchiectasis with a history of pulmonary tuberculosis or contact with people that suffering this disease. Results. The fungus Aspergillus was found in 20 of the 24 patients studied. No positive results were reported on tests carried out for common aerobic bacteria and tuberculosis. The pathologic examination confirmed the presence of Aspergillus and mycetoma. The cicatricial tissue, that was invaded, is highly vascularized with a predisposition to bleeding and prolonged surgery time. Conclusions. Aspergillus fungus is the single biggest infectious agent present in patients with bleeding bronchiectasis in this series.

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Published

2009-03-31

Issue

Section

Research Articles

How to Cite

1.
Uribe-Barreto A, Montesinos E, Bejar V, Cerrillo G, Cornejo W, Rojas-Peña L, et al. A microbiological and pathological study of bleeding bronchiectasis in pulmonary resection piece. Rev Peru Med Exp Salud Publica [Internet]. 2009 Mar. 31 [cited 2024 Jul. 16];26(1). Available from: https://rpmesp.ins.gob.pe/index.php/rpmesp/article/view/1330

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