Korean J Thorac Cardiovasc Surg.  2012 Feb;45(1):56-59.

A Surgically Treated Case of Chronic Necrotizing Aspergillosis with Pleural Invasion

• Lee KH
• Ryu SM
• Park SM
• Park HS
• Lee KH
• Cho SJ

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.

Keyword

Pleural disease; Fungal infection; Decortication; Lung surgery; Aspergillosis

MeSH Terms

Amphotericin B
Aspergillosis
Aspergillus
Fungi
Humans
Invasive Pulmonary Aspergillosis
Korea
Middle Aged
Pleural Diseases
Pyrimidines
Rare Diseases
Triazoles
Amphotericin B
Pyrimidines
Triazoles