Bronchocentric granulomatosis with multifocal lung involvement: A case report

Ali Kılıçgün; Bahar Kurt; Murat Bölük; Fahri Yılmaz

doi:10.5606/tgkdc.dergisi.2012.128

Ali Kılıçgün¹, Bahar Kurt², Murat Bölük², Fahri Yılmaz³

¹Abant İzzet Baysal Üniversitesi Tıp Fakültesi, Göğüs Cerrahisi Anabilim Dalı, Bolu, Türkiye
²Abant İzzet Baysal Üniversitesi Tıp Fakültesi, Göğüs Hastalıkları Anabilim Dalı, Bolu, Türkiye
³Abant İzzet Baysal Üniversitesi Tıp Fakültesi, Patoloji Anabilim Dalı, Bolu, Türkiye

DOI : 10.5606/tgkdc.dergisi.2012.128

Bronchocentric granulomatosis is a rare disease which shows no correlation between the clinical findings and radiological imaging. It is seen often in adults and is generally diagnosed by accident; however, a definitive diagnosis can be made with a lung biopsy. A necrotizing granulomatous reaction of the bronchi and bronchioles is generally observed. In this article, we present a 37-year-old male who was admitted for a detailed examination after a suspicious image was discovered on the chest X-ray. Many peripheral nodules were observed on computed tomography (CT) of the lung. Respiratory function tests revealed a mild obstruction, and a fiberoptic bronchoscopy showed no lesion. A nodule excision from the middle lobe in open lung biopsy was performed, and the result was found to be consistent with bronchocentric granulomatosis. We present this case due to its rare nature and believe it is a condition which should be investigated in terms of the etiology of multiple nodules.

Keywords : Aspergillosis; granulomatous; open lung biopsy

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