Abstract |
Pulmonary aspergillus empyema with bronchopleural fistula is a rare and severe disease with a poor prognosis. In this report, we describe the successful surgical treatment of this condition in a 34-year-old man who was initially hospitalized due to complications of chronic hepatitis B. While under artificial liver therapy and as a consequence of long-term corticosteroid use, the patient developed invasive pulmonary aspergillosis, which was further complicated by an empyema and a bronchopleural fistula.Video-assisted thoracoscopy surgery was performed following failure of the prescribed antifungal treatment and chest tube drainage, and the empyema resolved completely 3 months postoperatively,with no evidence of recurrence after 5 months' follow-up.
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Authors | Q Feng, L Ma, G Gabrielle, G-W Yu |
Journal | The Thoracic and cardiovascular surgeon
(Thorac Cardiovasc Surg)
Vol. 56
Issue 6
Pg. 370-2
(Sep 2008)
ISSN: 0171-6425 [Print] Germany |
PMID | 18704863
(Publication Type: Case Reports, Journal Article)
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Chemical References |
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Topics |
- Adult
- Antifungal Agents
(therapeutic use)
- Bronchial Fistula
(diagnostic imaging, microbiology, surgery)
- Empyema
(diagnostic imaging, microbiology, surgery)
- Humans
- Invasive Pulmonary Aspergillosis
(complications, diagnostic imaging, microbiology, surgery)
- Male
- Pleural Diseases
(diagnostic imaging, microbiology, surgery)
- Respiratory Tract Fistula
(diagnostic imaging, microbiology, surgery)
- Thoracic Surgery, Video-Assisted
- Tomography, X-Ray Computed
- Treatment Outcome
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