{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:39:58Z","timestamp":1786649998913,"version":"build-2736575974"},"reference-count":6,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:p>A 29-year-old previously healthy man with a month-long dry cough presented with hematemesis after mild chest trauma. Endoscopy showed a blood-filled stomach, but bleeding originated from the trachea. Bronchoscopy revealed an aspergilloma in the left upper lung lobe, confirmed histologically and by fungal culture. Imaging showed an apical cavity with pleural thickening. The patient had no history of tuberculosis, diabetes, or immunosuppression, and tested negative for human immunodeficiency virus. Hemorrhage resolved with conservative measures, and a 3-month course of voriconazole led to successful recovery without recurrence at 6 months. This case highlights hematemesis as a rare presentation of pulmonary aspergillosis, emphasizing the need to consider it in differential diagnoses of unexplained hematemesis, especially after trauma. Early bronchoscopy, histology, and imaging are key to diagnosis, enabling timely antifungal treatment and favorable outcomes.<\/jats:p>","DOI":"10.4103\/ijmy.ijmy_20_25","type":"journal-article","created":{"date-parts":[[2025,3,20]],"date-time":"2025-03-20T18:23:19Z","timestamp":1742494999000},"page":"86-88","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Hematemesis Leading to Diagnosis of Pulmonary Aspergillosis"],"prefix":"10.4103","volume":"14","author":[{"given":"Mazin Mohammed","family":"Al-Mubasher","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Faculty of Medicine and Health Sciences, Omdurman Islamic University, Khartoum, Sudan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4827-8338","authenticated-orcid":false,"given":"Tarig Hakim","family":"Merghani","sequence":"additional","affiliation":[{"name":"Department of Physiology, Rak College of Medical Sciences, Rak Medical and Health Sciences University, Ras Al-Khaimah, UAE"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rana","family":"El Beshbeishy","sequence":"additional","affiliation":[{"name":"Department of Anatomy, Rak College of Medical Sciences, Rak Medical and Health Sciences University, Ras Al-Khaimah, UAE"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Azza Osman","family":"Alawad","sequence":"additional","affiliation":[{"name":"Department of Physiology, Faculty of Medicine, University of Al-Neelain, Khartoum, Sudan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,3,20]]},"reference":[{"key":"R1-20260423","doi-asserted-by":"crossref","first-page":"411","DOI":"10.1016\/j.amjms.2020.12.009","article-title":"Pulmonary aspergillosis: Spectrum of disease","volume":"361","author":"Moldoveanu","year":"2021","journal-title":"Am J Med Sci"},{"key":"R2-20260423","doi-asserted-by":"crossref","first-page":"511","DOI":"10.1007\/s40121-020-00315-4","article-title":"Pulmonary aspergillosis: An evolving challenge for diagnosis and treatment","volume":"9","author":"Russo","year":"2020","journal-title":"Infect Dis Ther"},{"key":"R3-20260423","doi-asserted-by":"crossref","first-page":"220114","DOI":"10.1183\/16000617.0114-2022","article-title":"Pulmonary aspergillosis: Diagnosis and treatment","volume":"31","author":"Lamoth","year":"2022","journal-title":"Eur Respir Rev"},{"key":"R4-20260423","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1016\/j.mmcr.2022.07.001","article-title":"Chronic cavitary pulmonary aspergillosis in an immunocompetent child","volume":"37","author":"Davies","year":"2022","journal-title":"Med Mycol Case Rep"},{"key":"R5-20260423","doi-asserted-by":"crossref","first-page":"156","DOI":"10.1183\/09059180.00001011","article-title":"Pulmonary aspergillosis: Aclinical review","volume":"20","author":"Kousha","year":"2011","journal-title":"Eur Respir Rev"},{"key":"R6-20260423","doi-asserted-by":"crossref","first-page":"525","DOI":"10.5588\/ijtld.21.0053","article-title":"Diagnosing pulmonary aspergillosis is much easier than it used to be: Anew diagnostic landscape","volume":"25","author":"Denning","year":"2021","journal-title":"Int J Tuberc Lung Dis"}],"container-title":["The International Journal of Mycobacteriology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ijmy.ijmy_20_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:00:54Z","timestamp":1786647654000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ijmy.ijmy_20_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1]]},"references-count":6,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/ijmy.ijmy_20_25","relation":{},"ISSN":["2212-5531","2212-554X"],"issn-type":[{"value":"2212-5531","type":"print"},{"value":"2212-554X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1]]},"assertion":[{"value":"2025-01-02","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-02-28","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}