1993
DOI: 10.1055/s-2007-1013823 View full text |Buy / Rent full text
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Abstract: Between 6/87 and 3/92 22 out of 24 patients were treated (22 by surgery) for pulmonary and pleural Aspergillus disease. The most frequent lung disorder was tuberculosis (9 x), followed by bronchiectasis (5 x), congenital lung cysts (2 x), pneumonia with abscess formation (2 x), sarcoidosis (2 x), and bronchial cancer (4 x). More than half the patients had further severe secondary diseases. 4 patients with "simple aspergilloma" and 5 patients with "complex aspergilloma" underwent lobectomy or segmentectomy with… Show more

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“…In addition, it is essential that, in an attempt to elucidate the diagnosis of pleural effusion, authors reported, in a series of 13 cases of pleural aspergilloma, only 7 cases (54%) of symptomatic patients with hemoptysis, expectoration, and chest pain, whereas the remaining cases consisted of asymptomatic patients diagnosed only by routine chest X-ray, (13) which differs from our clinical findings. In our study, similarly to another report, (16) the radiographic diagnosis showed effusion and pleural thickening in 6 patients, indicating an exudative process. However, for a definitive diagnosis of the disease, it is necessary to perform a mycological evaluation, the positivity of which is determined by the microscopic finding of septate branching hyphae arranged in the shape of an aspergilloma and by the taxonomic identification of the fungus by culture of a specimen of the pleural cavity content.…”
Section: Discussionsupporting
“…(1,7) In rare cases, an aspergilloma can be located in the pleural space, being usually subsequent to surgical complications or concomitant with the presence of a bronchopleural fistula. (10)(11)(12)(13)(14)(15)(16)(17)(18) The objective of the present study was to report and document cases of patients with pleural aspergilloma caused by Aspergillus fumigatus, determining the profile of those patients, and therefore to assist in raising clinical suspicion.…”
mentioning
“…In series published on aspergilloma, the antecedents of pulmonary tuberculosis always stand out, representing as much as 37.5% [30] and including 72.4% in areas of high prevalence of PTB [31]. The most recent publications on surgical treatment of tuberculosis have reported aspergilloma at a frequency of 45% [18].…”
Section: Pulmonary Aspergillomamentioning
“…Its origin is due to various causes; among those described is trauma by friction due to its own fungal ball, the production of proteolytic and fibrinolytic enzymes [30,34], and type III antigen-antibody reactions [30]. The presence of hemoptysis is usually a warning sign, and around 30% evolve into massive hemoptysis [30,31].…”
Section: Pulmonary Aspergillomamentioning
“…In the report of VRCZ penetration into pleural fluid (15) T a b l e 1 . VRCZ Co n c e n t r a t i o n s i n P l a s ma a n d P l e u r a l F l u i d (2,7,17 …”
Section: F I G U R E 3 P a T H O L O G I C A L F I N D I N G S H O mentioning