Browse > Article
http://dx.doi.org/10.5090/kjtcs.2012.45.1.56

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)
Publication Information
Journal of Chest Surgery / v.45, no.1, 2012 , pp. 56-59 More about this Journal
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.
Keywords
Pleural disease; Fungal infection; Decortication; Lung surgery; Aspergillosis;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Walsh TJ, Anaissie EJ, Denning DW, et al. Treatment of aspergillosis: clinical practice guidelines of the Infectious Diseases Society of America. Clin Infect Dis 2008;46:327-60.
2 Soubani AO, Chandrasekar PH. The clinical spectrum of pulmonary aspergillosis. Chest 2002;121:1988-99.
3 Cecil JA, Wenzel RP. Voriconazole: a broad-spectrum triazole for the treatment of invasive fungal infections. Expert Rev Hematol 2009;2:237-54.
4 Hargis JL, Bone RC, Stewart J, Rector N, Hiller FC. Intracavitary amphotereicin B in the treatment of symptomatic pulmonary aspergillomas. Am J Med 1980;68:389-94.
5 Ahn HS, Kim EJ, Shin YC, Chee HK, Choi KM. Pulmonary aspergilloma treated by one stage cavernostomy and myoplasty. Korean J Thorac Cardiovasc Surg 2001;34:729-32.
6 Grima R, Krassas A, Bagan P, Badia A, Le Pimpec Barthes F, Riquet M. Treatment of complicated pulmonary aspergillomas with cavernostomy and muscle flap: interest of concomitant limited thoracoplasty. Eur J Cardiothorac Surg 2009;36:910-3.