Aspergillus tracheobronchitis, bronchopleural fistula and empyema after lobectomy for aspergilloma
نویسندگان
چکیده
Aspergillus tracheobronchitis and Aspergillus empyema are two rare manifestations of Aspergillus infection. This case report presents a patient with chronic obstructive pulmonary disease who developed a pseudomembranous Aspergillus tracheobronchitis, bronchopleural fistula and empyema 16 months after lobectomy for an aspergilloma. Bronchoscopy proved to be important for assessment of severity. Combined systemic anti-fungal treatment (voriconazole) and open window thoracostomy were used to successfully treat the patient.
منابع مشابه
[Endovascular management of a left subclavian artery lesion following thoracoplasty for bronchopleural fistula and empyema secondary to aspergillus fumigatus].
Massive and/or recurrent hemoptysis is a clear indication for surgical treatment of pleuropulmonary aspergilloma, despite the incidence of postoperative morbidity and mortality. Thoracoplasty has been widely used for 20 years and is still indicated in these cases, following lobectomy, even though the procedure is not free of complications. We report the case of a patient who required thoracopla...
متن کاملPii: S1010-7940(02)00104-5
Objectives: The purpose of this retrospective study is to analyze the results of the surgical treatment for pulmonary aspergilloma and to confirm that aggressive surgical resection can provide effective outcome for these patients. Patients and method: From 1987 to 2000, 110 patients underwent thoracotomy for treatment of pulmonary aspergilloma in two hospitals. The most common indication for op...
متن کاملSurgical treatment for pulmonary aspergilloma: a 28 year experience.
BACKGROUND Pulmonary aspergilloma has been treated surgically for many years but the mortality rates of larger surgical series, varying from 7% to 23%, is not considered acceptable by today's standards. The authors report their experience in the surgical treatment of pulmonary aspergilloma and present a review of the literature. METHODS Sixty seven patients who underwent thoracotomy for pulmo...
متن کاملA case of post-upper lobectomy empyema treated by serratus anterior muscle and pedicled latissimus dorsi musculocutaneous flaps plombage via open-window thoracostomy.
A 62-year-old male was admitted to our hospital for operation for Aspergillus empyema with a fungus ball in the right upper lobe. We performed a right upper lobectomy and decortication of the middle and lower lobes through a standard posterolateral thoracotomy with dissection of the latissimus dorsi and serratus anterior muscles, in October 2000. Twenty-one days postoperatively (POD), he develo...
متن کاملPneumonectomy for complex aspergilloma: is it still dangerous?
OBJECTIVE Pneumonectomy for complex aspergilloma is associated with high morbidity rates. This study aimed to improve the outcomes of this high-risk procedure by preventing postoperative complications. METHODS Between April 1999 and December 2004, 25 patients underwent pulmonary resection for complex aspergilloma at our institution. Of these patients, 11 (44%) patients (9 males and 2 females)...
متن کامل