{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T04:18:16Z","timestamp":1787804296974,"version":"build-2784847793"},"reference-count":5,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,8,2]],"date-time":"2026-08-02T00:00:00Z","timestamp":1785628800000},"content-version":"vor","delay-in-days":1,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Respirology Case Reports"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>A 26\u2010year\u2010old man with recurrent pulmonary tuberculosis and prior left pneumonectomy presented with progressive dyspnea. Chest computed tomography revealed a cavitary fungal ball in the right upper lobe, and elevated Aspergillus fumigatus IgG confirmed chronic pulmonary aspergillosis. Despite oral voriconazole, the cavity enlarged and surgery was contraindicated due to severely limited lung function. Bronchoscopic removal was performed using an ultrathin bronchoscope, two flexible bronchoscopes of increasing diameter, biopsy forceps, a Fogarty catheter and suction. The friable fungal mass was fragmented and completely extracted over two sessions. Histopathology and culture confirmed Aspergillus fumigatus. At 18\u2010month follow\u2010up, imaging showed complete resolution of the fungal ball with cavity\u2010wall thinning and no recurrence, accompanied by symptomatic improvement and a 45% decline in Aspergillus fumigatus IgG. Bronchoscopic removal may represent a feasible minimally invasive option in carefully selected, medically refractory, surgically ineligible patients, though durability remains unproven from a single case.<\/jats:p>","DOI":"10.1002\/rcr2.70696","type":"journal-article","created":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T03:04:56Z","timestamp":1785726296000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Bronchoscopic Removal of Aspergilloma in a 26\u2010Year\u2010Old Man"],"prefix":"10.1002","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3256-4428","authenticated-orcid":false,"given":"Chun\u2010Hao","family":"Wang","sequence":"first","affiliation":[{"name":"Department of Internal Medicine National Taiwan University Hospital  Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1318-5548","authenticated-orcid":false,"given":"Lih\u2010Yu","family":"Chang","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine National Taiwan University Hospital Hsin\u2010Chu Branch  Hsin\u2010Chu Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3406-366X","authenticated-orcid":false,"given":"Jann\u2010Yuan","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine National Taiwan University Hospital  Taipei Taiwan"},{"name":"Department of Internal Medicine National Taiwan University Hospital Hsin\u2010Chu Branch  Hsin\u2010Chu Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,2]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1183\/13993003.00583-2015"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciw326"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/thoraxjnl-2014-206291"},{"issue":"2","key":"e_1_2_8_5_1","first-page":"e157","article-title":"A Series of Transbronchial Removal of Intracavitary Pulmonary Aspergilloma","volume":"103","author":"Stather D. R.","year":"2017","journal-title":"Annals of Thoracic Surgery"},{"issue":"11","key":"e_1_2_8_6_1","first-page":"MD06","article-title":"Bronchoscopic Removal of Aspergilloma From a Cavitary Lesion of the Lung","volume":"8","author":"Kalyan Kumar P. V.","year":"2014","journal-title":"Journal of Clinical and Diagnostic Research"}],"container-title":["Respirology Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/rcr2.70696","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/rcr2.70696","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/rcr2.70696","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T03:23:31Z","timestamp":1787801011000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/rcr2.70696"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":5,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["10.1002\/rcr2.70696"],"URL":"https:\/\/doi.org\/10.1002\/rcr2.70696","archive":["Portico"],"relation":{},"ISSN":["2051-3380","2051-3380"],"issn-type":[{"value":"2051-3380","type":"print"},{"value":"2051-3380","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8]]},"assertion":[{"value":"2026-06-19","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-13","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-02","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70696"}}