Role of Bronchoscopy

in Pulmonary Mycosis

Mohamad Fahmi Alatas

Department of Pulmonology and Respiratory Medicine
Faculty of Medicine Universitas Indonesia – Persahabatan Hospital Jakarta
 Pulmonary Mycoses

• Pulmonary mycosis is frequently detected in present day practice

because of increased number of immunosuppressed and
vulnerable people, increasing knowledge toward such infections,
and advancement in laboratory detection methods.
• Detection of airway infections using bronchoscopy employs
sputum sampling, transtracheal needle aspiration,
bronchoalveolar lavage (BAL) with a bronchoscope, and lung
biopsy.

Gupta R et al. Egypt J Chest Dis Tuberc 70:249–53

Role of Bronchoscopy in Pulmonary Diseases

• Diagnostic
• Therapy
• Evaluation of treatment
Bronchoscopic view of Fungal Infection

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Bronchoscopic view of Fungal Infection

Allergic bronchopulmonary aspergillosis

Li et al., Infectious Diseases & Immunity 2021;1(3)

 Bronchoscopic view of Fungal Infection

Aspergillus
tracheobronchitis

Gupta P et.al. Infect Dis Clin Pract 2022;30: e1151

Diagnostic Bronchoscopy of Mycoses

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(+) Therapeutic Bronchoscopy in Mycosis

Atelectasis Obstruction Candida albicans

Oxford Medical Case Reports, 2019;6, 292–4

 (+) Therapeutic Bronchoscopy in Mycosis

Aspergillus
pseudomembranous
tracheobronchitis

Keshishyan S et.al. J Thorac Dis 2017;9(6):1707-24

Bronchoscopic evaluation of Fungal Infection

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 Summary

• Bronchoscopy might be planned as diagnostic, therapeutic as

well as evaluation of treatment in pulmonary mycoses.
• Samples from bronchial biopsy or lavage should be examine for
fungi at any suspicious case e.g. immunocompromised, former
lung infection etc
Thank You
Mohamad Fahmi
On demand
fahmialatasdr@yahoo.com
@dokterfahmialatas
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