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Aspergillus empyema

M F Parry, F R Coughlin, F X Zambetti

    Chest
    |June 1, 1982
    PubMed
    Summary
    This summary is machine-generated.

    Aspergillus empyema, a rare fungal infection, can develop years after pneumonectomy. Exposed silk sutures can cause this serious complication, but drainage and suture removal lead to resolution.

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    Area of Science:

    • Pulmonology
    • Infectious Diseases
    • Mycology

    Background:

    • Pneumonectomy is a major surgical procedure involving lung removal.
    • Aspergillus empyema is a rare but serious fungal infection of the pleural space.
    • Identifying risk factors and optimal management strategies for Aspergillus empyema is crucial.

    Observation:

    • A 69-year-old male developed Aspergillus empyema six years post-pneumonectomy.
    • Exposed silk suture material at the bronchial stump was identified as the likely nidus for infection.
    • The infection extended from the bronchial stump into the pleural space.

    Findings:

    • The exposed silk suture served as a focal point for Aspergillus colonization and subsequent empyema.
    • Surgical intervention, including drainage and removal of the infected suture, led to successful resolution.

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  • This case highlights a specific iatrogenic cause of delayed Aspergillus empyema.

    • Implications:

    • Silk sutures in bronchial stumps may pose a long-term risk for fungal infections like empyema.
    • Prompt diagnosis and removal of foreign material are critical for managing Aspergillus empyema.
    • Reassessment of surgical techniques and materials may be warranted to prevent such complications.