We describe the successful treatment of pulmonary aspergilloma by limited thoracoplasty used simultaneously with single-stage cavernostomy and a muscle transposition flap. An 80-year-old man with dyspnea on effort and hemoptysis consulted our hospital. Chest computed tomography revealed a thick wall cavity containing a fungus ball surrounded by a crescent of air and diseased lung parenchyma, in...

mortality following surgery of the collected series of Kilman et al was about 7%. In larger Background – Pulmonary aspergilloma has been treated surgically for many years single series reported by Jewkes et al and Daly et al the mortality following surgery was as but the mortality rates of larger surgical series, varying from 7% to 23%, is not high as 14% (seven of 49) and 23% (12 of 53), respe...

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...

13RD year Post Graduate Student, 2Senior Physician, 32nd year post graduate student in Department of Medicine in PGIMER and Dr. Ram Manohar Lohia Hospital, New Delhi-110001 Received: 23.07.2012; Accepted; 24.04.2013 Fig. 1 : X-ray chest revealed two rounded nonhomogeneous opacities with surrounding hyperlucency Fig. 2 : CECT chest showing right pneumothorax with communicating broncho-pleural fi...

Twenty-three cases of deep mycoses were histologically diagnosed in 6500 surgical biopsy specimens examined during a three year period (1985-1988) in the Department of Pathology, University of Calabar Teaching Hospital, Calabar, Nigeria. These included 12 cases of African histoplasmosis, four of mycetoma, four of actinomycetoma, two of paranasal aspergilloma, and one of zygomycosis due to Conid...

BACKGROUND Aspergillosis is a fungal infection occasionally found in immunosuppressed patients. The recommended management of patients with renal aspergilloma remains unclear. METHODS An HIV patient presented with flank pain and an abdominal mass. Renal aspergilloma was diagnosed. RESULTS The patient with CD4 above 200 did well with nephrectomy followed by amphotericin therapy for 14 days. ...

AIMS To develop a genome based DNA fingerprinting system for Aspergillus fumigatus mould. METHODS DNA was extracted from 21 isolates obtained from eight patients with an aspergilloma. This was with a freeze-dried mycelial extract fragmented in liquid nitrogen. DNA was subsequently purified by phenol-chloroform extraction followed by ultracentrifugation on a caesium chloride gradient. The DNA ...