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Invasive pulmonary aspergillosis with pneumopericardium and pneumothorax
A Serrano-Gonzalez1, J M Merino-Arribas, M J Ruiz-Lopez
1Pediatric Intensive Care Unit, Hospital del Niño Jesús, Autonoma University of Madrid, Spain.
Pediatric Radiology
|January 1, 1992
Abstract:
A case of an invasive pulmonary aspergillosis with pneumopericardium and pneumothorax in an immunocompromised child of 5 years is reported. He was treated with thoracic drainage, amphotericin B and itraconazole. The course was satisfactory.
Insights
A rare case of invasive pulmonary aspergillosis complicated by pneumopericardium and pneumothorax in an immunocompromised child was successfully treated. The treatment involved thoracic drainage and antifungal medications, leading to a satisfactory outcome.
Area of Science:
- Pediatric Pulmonology
- Infectious Diseases
- Critical Care Medicine
Background:
- Invasive pulmonary aspergillosis is a serious fungal infection.
- Immunocompromised children are at high risk.
- Pneumopericardium and pneumothorax are rare but severe complications.
Observation:
- A 5-year-old immunocompromised child presented with invasive pulmonary aspergillosis.
- The patient developed pneumopericardium and pneumothorax.
- The clinical presentation indicated a critical condition.
Findings:
- Successful management of invasive pulmonary aspergillosis with these complications was achieved.
- Treatment included thoracic drainage, amphotericin B, and itraconazole.
- The patient experienced a satisfactory recovery.
Implications:
- This case highlights the importance of prompt diagnosis and multidisciplinary management.
- Effective treatment strategies for rare complications of aspergillosis in children exist.
- Further research into optimal antifungal regimens and supportive care is warranted.