Evidence map›Paper›PMID 41906362›Full record

ReviewThe American journal of case reports2026

Invasive Necrotizing Tracheobronchial Aspergillosis in Children: A Case Series and Literature Review.

Fang Jin, Xiaofen Tao, Hujun Wu, Lei Wu, Yingshuo Wang

Abstract readCase ReportsReview
In one paragraph

Review in The American journal of case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Fang JinDepartment of Pulmonology, Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, Zhejiang, China.
Xiaofen TaoDepartment of Pulmonology, Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, Zhejiang, China.
Hujun WuDepartment of Pulmonology, Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, Zhejiang, China.ORCID 0009-0003-8635-0449
Lei WuDepartment of Pulmonology, Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, Zhejiang, China.
Yingshuo WangDepartment of Pulmonology, Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, Zhejiang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND Invasive tracheobronchial aspergillosis is rare in children. Here, we describe 3 cases in which mucosal necrosis and erosion were observed on bronchoscopy, with pseudomembrane-like attachments on the mucosal surface. CASE REPORT Case 1: An 8-year-old girl with leukemia was admitted because of recurrent fever, persistent cough (>1 month), and 1 day of hemoptysis. Chest computed tomography (CT) revealed progression of patchy opacities and consolidation in the right upper and middle lobes compared with prior imaging. Next-generation sequencing (NGS) of bronchoalveolar lavage fluid (BALF) detected Aspergillus flavus. Case 2: An 8-year-old girl with fever for 4 days and cough for 2 days was admitted. After admission, recurrent fever occurred; hemophagocytic syndrome and coronavirus disease 2019 (COVID-19)-related multisystem inflammatory syndrome were diagnosed. Sputum culture results were positive for A. fumigatus. Chest CT demonstrated atelectasis of the right upper lobe and left lower lobe. NGS of BALF also detected A. fumigatus. Case 3: A 4-year-old boy was admitted for mesenchymal stem cell infusion. He had undergone bone marrow transplantation 6 months prior to admission. Occasional cough and fever were reported. Chest CT indicated infectious lesions in both lungs. NGS detected A. fumigatus. Bronchoscopy in all 3 children revealed necrotizing tracheobronchitis. All patients were successfully treated and discharged in stable condition. CONCLUSIONS This report describes 3 cases of invasive pulmonary aspergillosis with invasive necrotizing tracheobronchial aspergillosis, highlighting diagnostic and management challenges, as well as a potential role for bronchoscopy in treatment of this disease.

Indexed as

Invasive Pulmonary AspergillosisAspergillus flavusBronchoalveolar Lavage FluidBronchoscopyChildChild, PreschoolFemaleHumansMaleNecrosisTomography, X-Ray Computed

Identifiers

PMID41906362
PMCPMC13047923

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.