A Surgically Treated Case of Chronic Necrotizing Aspergillosis with Pleural Invasion.
- Author:
Kyung Hak LEE
1
;
Se Min RYU
;
Sung Min PARK
;
Hyun Seok PARK
;
Kang Hoon LEE
;
Seong Joon CHO
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Kangwon National University Hospital, Kangwon National University School of Medicine, Korea. semin@kangwon.ac.kr
- Publication Type:Case Report
- Keywords:
Pleural disease;
Fungal infection;
Decortication;
Lung surgery;
Aspergillosis
- MeSH:
Amphotericin B;
Aspergillosis;
Aspergillus;
Fungi;
Humans;
Invasive Pulmonary Aspergillosis;
Korea;
Middle Aged;
Pleural Diseases;
Pyrimidines;
Rare Diseases;
Triazoles
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2012;45(1):56-59
- CountryRepublic of Korea
- Language:English
-
Abstract:
Aspergillus is a ubiquitous fungus and can cause many levels of disease severity. Chronic necrotizing aspergillosis is a rare disease and few cases have been reported in Korea. We experienced a case of pleural aspergillosis that was treated successfully with medical and surgical interventions. The 52-year-old man who was diagnosed with chronic necrotizing pulmonary aspergillosis underwent surgical treatment including a lobectomy, decortication, and myoplasty. The patient was also medically treated with amphotericin B followed by voriconazole. Pleural irrigation with amphotericin B was also performed. A multi-dimensional approach should be considered for treating chronic necrotizing pulmonary aspergillosis.