Progressive Chronic Pulmonary Aspergillosis: A Diagnostic and Therapeutic Challenge

Abstract

The pericardial space should not be irrigated with betadine'0.Constriction may be less common in pneumococcal than in tuberculous effusions where fibrosis is marked. The main advantage of catheter drainage is avoiding pericardial surgery in ill patients, particularly those with m3ycarditis or biventricular dysfunction'. In a n, in patients with limited recurrence oftheir effusion, an indwellingtcatheter may be removed at an early stage. More reports of.this promising, relatively non-invasive, inexpesive approach to the treatment of pericardial effusion are required.References 1 Kauffman CA, Watanakunakorn C, Phair JP. Purulent pneumococcal pericarditis, a continuing psvblem in the antibiotic era. Am

Management of Invasive Aspergillosis With Itraconazole

“…Invasive aspergillosis normally occurs in patients without obvious immune deficiency; 12 more rapidly progressive fulminant aspergillosis has been reported in the immunocompromised 5 . Progressive chronic necrotising pulmonary aspergillosis also carries a poor prognosis, 15 although itraconazole has been used successfully in one patient 16 …”