Pleural aspergillosis complicated by recurrent pneumothorax: a case report

Zhang, Weihua; Hu, Ye; Chen, Liangan; Gao, Jie; Xie, Lixin

doi:10.1186/1752-1947-4-180

Cited by 14 publications

(14 citation statements)

References 6 publications

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“…PSP occurs in the absence of clinically apparent underlying lung disease, while SSP occurs as a complication of a pre-existing underlying lung disease such as chronic obstructive pulmonary disease [59,60], cystic fibrosis [61][62][63], lung malignancy ( primary or metastatic) or necrotising pneumonia of various causes [64][65][66][67].…”

Section: Classification and Pathophysiology Of Pneumothoraxmentioning

confidence: 99%

ERS task force statement: diagnosis and treatment of primary spontaneous pneumothorax

et al. 2015

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Primary spontaneous pneumothorax (PSP) affects young healthy people with a significant recurrence rate. Recent advances in treatment have been variably implemented in clinical practice. This statement reviews the latest developments and concepts to improve clinical management and stimulate further research.The European Respiratory Society's Scientific Committee established a multidisciplinary team of pulmonologists and surgeons to produce a comprehensive review of available scientific evidence.Smoking remains the main risk factor of PSP. Routine smoking cessation is advised. More prospective data are required to better define the PSP population and incidence of recurrence. In first episodes of PSP, treatment approach is driven by symptoms rather than PSP size. The role of bullae rupture as the cause of air leakage remains unclear, implying that any treatment of PSP recurrence includes pleurodesis. Talc poudrage pleurodesis by thoracoscopy is safe, provided calibrated talc is available. Video-assisted thoracic surgery is preferred to thoracotomy as a surgical approach.In first episodes of PSP, aspiration is required only in symptomatic patients. After a persistent or recurrent PSP, definitive treatment including pleurodesis is undertaken. Future randomised controlled trials comparing different strategies are required. @ERSpublications A European Task Force reviews scientific evidence and suggests future research for primary spontaneous pneumothorax

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Section: Classification and Pathophysiology Of Pneumothoraxmentioning

confidence: 99%

ERS task force statement: diagnosis and treatment of primary spontaneous pneumothorax

et al. 2015

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“…8 Cases of pyopneumothorax secondary to aspergillus infection have been reported rarely. [9][10][11] In the current case, infection occurred primarily without having any pre-existing pulmonary sequelae and long treatment history. The patient was apparently healthy without any history of immunosupression.…”

Section: Discussionmentioning

confidence: 95%

Pyopneumothorax Secondary to Aspergillus Infection: A Case Report

Kant¹,

Saheer²,

Singh³

et al. 2012

Oman Med J

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A 32 -year- old male presented with complaints of fever, dry cough, breathlessness and right sided chest pain of two months duration. Chest radiograph showed right sided hydropneumothorax which revealed frank pus on diagnostic thoracocentesis, for which tube thoracostomy was done. Despite vigorous broad spectrum antibiotic coverage, postural drainage and chest physiotherapy, there was no clinical improvement. Further work up included serology, pleural fluid culture, closed as well as thoracoscopic guided pleural biopsy revealed growth of Aspergillus fumigatus. Patient was prescribed antifungal medication (Voriconazole) and subsequent thoracotomy with right sided pneumonectomy showed good clinical recovery.

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“…Aspergillus ampiyemlerine literatürde genel olarak tekli vaka bildirimleri olarak rastlanmaktadır [11][12][13][14]. En geniş seri Kearon ve ark.…”

Section: Discussionunclassified

“…Tekrarlayan pnömotoraks şeklinde ortaya çıkan bir vaka da bildirilmiştir [14]. Bilgisayarlı tomografi ve akciğer grafilerinde akciğer parankim tutulumu izlenmez [12]. Serimizde hastalarımızın tümünde radyolojik olarak parankim tutulumu olmaksızın plevral effüzyon görünümü mevcuttu.…”

Section: Discussionunclassified

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Isolated secondary fungal infections of pleural cavity

Ergin

Yeginsu²,

Zeybek³

et al. 2013

J Clin Exp Invest

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Objectives: Pleural fungal infections are rare, but the incidence has been increasing with immunosuppressant diseases and use of immunosuppressive medications. In this report, we present 6 patients with pleural effusions that have been determined fungal infection. Methods:The medical records of patients with followed and treated due to fungal infection of the pleural were retrospectively reviewed. Result:The 6 cases whom was 58 of the value median for age were treated as surgical and medical due to fungal infection of the pleural cavity. Dyspnea, cough and chest pain were the most common symptoms. Fever, night sweats and expectoration are relatively rare. In 4 patients, the infections of pleural cavity developed on the bases of rheumatoid arthritis, tuberculosis, pleural mesothelioma and esophagopleural fistula. In two patients had isolated fungal infections. Cultural positivity was seen in 5 patients. Fungal hyphae were determined by cytopathology in all of the patients.As a surgical procedure, all of the patients underwent decortication or pleural biopsy and pleural irrigation. In all patients, antifungal agents were added to surgical procedures. Full recovery of infection was seen in 5 patients. One patient died. Conclusion:In immunosuppressive patients, the incidence of pleural effusions due to or associated with fungal infections are more common. Addition to culture of pleural fluid, histopathological evaluation of pleura will aid diagnosis. J Clin Exp Invest 2013; 4 (4): 468-471Key words: Lung, fungal infection, pleural effusion ÖZET Amaç: Plevral mantar enfeksiyonları nadirdir. İmmünsup-resif hastalıkların ve immünsupresif tedavilerin artışı ile plevral mantar enfeksiyonlarının insidansı da artmaktadır. Bu klinik çalışmada, plevral mantar enfeksiyonuna bağlı plevral effüzyon izlenen hastalar literatür verileri eşliğinde gözden geçirildi.Yöntemler: Plevral mantar enfeksiyonu nedeniyle takip ve tedavi edilen hastalara ait medikal kayıtlar retrospektif olarak gözden geçirildi. Bulgular:Yaş median değeri 58 yıl olan 6 vaka plevral kavitenin mantar enfeksiyonu nedeni ile cerrahi ve medikal tedavi aldı. Radyolojik değerlendirmelerde tüm hastalarda değişik derecede plevral efüzyon izlendi. Hastalar sıklıkla dispne, öksürük ve göğüs ağrısı daha nadir ateş, gece terlemesi semptomlarına sahipti. Plevral mantar enfeksiyonu; 6 hastanın 4'ünde romatoid artrit, tüberküloz, mezotelyoma ve özefagoplevral fistüle sekonder geliş-mişti. İki hastada ise izole mantar enfeksiyonu saptandı. Hastaların tümünde plevral dokunun histopatolojik değer-lendirilmesi ile fungal hifler rapor edildi. Mikrobiyolojik olarak mantar kültür pozitifliği 5 hastada bildirildi. Hastalara cerrahi işlem olarak dekortikasyon, plevral biopsi, primer özefagial onarım ile yaklaşıldı. Tüm hastalara cerrahi iş-lemin yanı sıra antifungal ajanlar parenteral tedaviye eklendi. Beş hastada tam bir iyileşme izlenirken, bir hasta kaybedildi.Sonuç: İmmünsupresif veya genel durumu bozuk hastalarda, mantar enfeksiyonlarına bağlı radyolojik tetkiklerde sıklı...

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Pleural aspergillosis complicated by recurrent pneumothorax: a case report

Cited by 14 publications

References 6 publications

ERS task force statement: diagnosis and treatment of primary spontaneous pneumothorax

ERS task force statement: diagnosis and treatment of primary spontaneous pneumothorax

Pyopneumothorax Secondary to Aspergillus Infection: A Case Report

Isolated secondary fungal infections of pleural cavity

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