Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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A Surgically Treated Case of Chronic Necrotizing Aspergillosis with Pleural Invasion

  • Lee, Kyung-Hak (Department of Thoracic and Cardiovascular Surgery, Kangwon National University Hospital, Kangwon National University School of Medicine) ;
  • Ryu, Se-Min (Department of Thoracic and Cardiovascular Surgery, Kangwon National University Hospital, Kangwon National University School of Medicine) ;
  • Park, Sung-Min (Department of Thoracic and Cardiovascular Surgery, Kangwon National University Hospital, Kangwon National University School of Medicine) ;
  • Park, Hyun-Seok (Department of Thoracic and Cardiovascular Surgery, Kangwon National University Hospital, Kangwon National University School of Medicine) ;
  • Lee, Kang-Hoon (Department of Thoracic and Cardiovascular Surgery, Kangwon National University Hospital, Kangwon National University School of Medicine) ;
  • Cho, Seong-Joon (Department of Thoracic and Cardiovascular Surgery, Kangwon National University Hospital, Kangwon National University School of Medicine)
  • Received : 2011.08.17
  • Accepted : 2011.11.11
  • Published : 2012.02.05
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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.

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References

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  2. Pleuritis Clinically Diagnosed as Aspergillosis during the Course of Microscopic Polyangiitis vol.53, pp.24, 2012, https://doi.org/10.2169/internalmedicine.53.2168