Salvage therapy with topical antifungal for Aspergillus fumigatus empyema complicating extrapleural pneumonectomy.

نویسندگان

  • Manoj Purohit
  • Achyut Guleri
  • Joseph Zacharias
چکیده

We describe an unusual case of Aspergillus fumigatus empyema and bronchopleural fistulae after extrapleural pneumonectomy (EPP) and chemoradiotherapy (CRT), which was treated successfully under salvage conditions with debridement, an innovative topical antifungal application and supplemented systemic antifungal therapy and which went on for a definitive surgical procedure. Combinations of CRT and EPP have been recommended in a select group of patients with malignant mesothelioma. Irrespective of the combination, EPP is associated with mortality in the range of 4-15% and a complication rate as high as 62%.

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عنوان ژورنال:
  • Interactive cardiovascular and thoracic surgery

دوره 15 3  شماره 

صفحات  -

تاریخ انتشار 2012