Spontaneous empyema necessitatis caused by <i>Aspergillus fumigatus</i> in an immunocompetent patient

Chen, Chih‐Hao; Ho-Chang,; Liu, Hung-Chang; Tsung, Tsing-Tshih; Hung, Tzu-Ti

doi:10.1258/shorts.2011.010117

Cited by 11 publications

(10 citation statements)

References 8 publications

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“…Although rare, it usually occurs in the presence of pre-existing lung disease or surgery such as pre-existing tuberculosis (87%), bronchopulmonary fistulas (74%), pleural drainage (56%), and lung resection (17%). Pleural aspergillosis is not characteristically associated with pulmonary aspergillosis in either its allergic, bronchopneumonic, or intracavitary forms (3)(4)(5). Herein, we report a case of aspergillus empyema thoracis with pneumothorax in an immunosuppressed patient.…”

Section: Abstract: Aspergillus Empyema Fungal Infectionsmentioning

confidence: 87%

Pleural Aspergillosis: A Rare Presentation of Fungal Infection

Bekçi¹,

Çalık²,

Akın³

et al. 2016

Respir Case Rep

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Section: Abstract: Aspergillus Empyema Fungal Infectionsmentioning

confidence: 87%

Pleural Aspergillosis: A Rare Presentation of Fungal Infection

Bekçi¹,

Çalık²,

Akın³

et al. 2016

Respir Case Rep

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“…There are some reports of Aspergillus empyema being successfully treated with a combination of systemic antifungal therapy and local irrigation of the pleural cavity with AMPH-B (5,17,(24)(25)(26)(27)(28). Additionally, surgical approaches, including drainage, OWT (5,17,(24)(25)(26)(27)(28)(29)(30) and debridement, are performed in some cases. Table summarizes the data of these aforementioned cases.…”

Section: Discussionmentioning

confidence: 99%

Successful Treatment of <i>Aspergillus</i> Empyema Using Open Window Thoracostomy Salvage Treatment and the Local Administration of an Antifungal Agent

et al. 2016

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A 76-year-old woman received long-term immunosuppressive treatment for collagen vascular diseaseassociated interstitial pneumonia. The patient developed a cavitary mass lesion in the right lower lung field, and both nontuberculous mycobacteria and Aspergillus spp. were isolated after bronchial washing. The patient underwent a right lower lobectomy but developed Aspergillus empyema. Empyema due to Aspergillus spp. is a rare and life-threatening condition; however, the standard therapeutic strategies for treating Aspergillus empyema are not clear. We herein report a case of Aspergillus empyema that was successfully treated with a combination therapy which included open-window thoracostomy and the administration of antifungal agents (systemic micafungin and local amphotericin-B).

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“…The reported durations of antibiotics prescribed for the patient vary according to the pathogen: S. pneumonia , 10 days;2 Fusobacterium , 4 weeks;9 methicillin-resistant Staphylococcus aureus , 5 weeks;10 M. tuberculosis , 6–9 months;11 12 actinomycosis, 6–18 months;13 14 and M. abscessus , 18 months 15. In the previously reported case of empyema necessitatis due to A. fumigatus , the patient received itraconazole for more than 1 month 4. However, we maintained voriconazole for a longer duration because the patient showed severe presentation initially and her chest wall lesion remained little improved over several weeks.…”

Section: Discussionmentioning

confidence: 99%

“…Only one case of spontaneous empyema necessitatis caused by Aspergillus fumigatus was presented in 2011 in Taiwan,4 and no other case has been reported since the 1960s.…”

Section: Introductionmentioning

confidence: 99%

Empyema necessitatis due toAspergillus fumigatus

et al. 2014

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SUMMARYWe present an extremely rare case of empyema necessitatis secondary to Aspergillus fumigatus infection. A 58-year-old woman presented to our hospital with a painful skin rash on the right thorax. Three fistulas communicating with the pleural space were found. Since she did not show a clinical improvement despite antituberculous and antibacterial treatment, we looked for other causes. Pleural fungus culture showed A. fumigatus and chest wall biopsy revealed numerous fungal hyphae. Treatment with necrotic tissue debridement and antifungal agents was successful. BACKGROUND

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Spontaneous empyema necessitatis caused by Aspergillus fumigatus in an immunocompetent patient

Cited by 11 publications

References 8 publications

Pleural Aspergillosis: A Rare Presentation of Fungal Infection

Pleural Aspergillosis: A Rare Presentation of Fungal Infection

Successful Treatment of <i>Aspergillus</i> Empyema Using Open Window Thoracostomy Salvage Treatment and the Local Administration of an Antifungal Agent

Empyema necessitatis due toAspergillus fumigatus

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