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Aspergillus pyothorax: Is surgery alone sufficient?

I Issoufou1, H Harmouchi2, L Belliraj2

  • 1Service de chirurgie thoracique, CHU Hassan II, 30000 Fès, Maroc, Département de chirurgie et spécialités chirurgicales, Hôpital national de Niamey, Niger.

Medecine Et Sante Tropicales
|July 13, 2018
PubMed

Insights

Pleural aspergillosis, a rare fungal infection of the pleura, can be effectively managed with surgical intervention. Two cases demonstrate successful outcomes without antifungal treatment, highlighting surgery's importance.

Area of Science:

  • Medical Mycology
  • Thoracic Surgery

Background:

  • Aspergillus is a filamentous fungus that rarely affects the pleura.
  • Pleural aspergillosis is an uncommon manifestation of Aspergillus infection.

Observation:

  • Two patients, aged 67 and 37, presented with pleural aspergillosis.
  • One patient underwent thoracostomy and myoplasty; the other had pleuropulmonary decortication.
  • Pathology confirmed intrapleural aspergilloma in both cases.

Findings:

  • Surgical management was successful in both cases.
  • No antifungal treatment was administered.
  • Patients experienced uncomplicated postoperative courses with no recurrence.

Implications:

  • Surgical intervention is a viable and effective treatment for pleural aspergillosis.
  • Further research into non-antifungal management strategies for this condition is warranted.
  • These cases contribute to understanding the surgical management of rare pleural fungal infections.
Keywords:
Aspergillusantifungalaspergillomaempyemathoracostomy

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