A young immunocompetent patient with spontaneous Aspergillus empyema who developed severe eosinophilia
Aspergillus empyema is usually reported as a complication of surgical procedures, and spontaneous cases are quite rare. Here, we describe the case of a 16-year-old man who suddenly developed dyspnea despite previously being healthy. Chest computed tomography showed multiple mass-containing cavity le...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2017-01-01
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| Series: | Respiratory Medicine Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213007117302587 |
| _version_ | 1818290698019930112 |
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| author | Fumiaki Kudo Hiromitsu Ohta Yoshiaki Nagai Kentaro Minegishi Shinichiro Koyama |
| author_facet | Fumiaki Kudo Hiromitsu Ohta Yoshiaki Nagai Kentaro Minegishi Shinichiro Koyama |
| author_sort | Fumiaki Kudo |
| collection | DOAJ |
| description | Aspergillus empyema is usually reported as a complication of surgical procedures, and spontaneous cases are quite rare. Here, we describe the case of a 16-year-old man who suddenly developed dyspnea despite previously being healthy. Chest computed tomography showed multiple mass-containing cavity lesions, pneumothorax, and pleural effusion in the left thorax. Within 2 weeks, Aspergillus fumigatus grew from his pleural effusion, thus he was diagnosed with Aspergillus empyema. He also developed severe eosinophilia after admission, and was treated with anti-fungal drugs. Although there are many factors that can cause eosinophilia, we suspect that infection with Aspergillus fumigatus was the major cause of the eosinophilia in this patient. The lack of bronchial symptoms and lesions were not consistent with a diagnosis of allergic bronchopulmonary aspergillosis. As far as we know, this is the first case of spontaneous Aspergillus empyema resulting in severe eosinophilia. |
| first_indexed | 2024-12-13T02:32:18Z |
| format | Article |
| id | doaj.art-256517f493594d70b4979b939709fcf0 |
| institution | Directory Open Access Journal |
| issn | 2213-0071 |
| language | English |
| last_indexed | 2024-12-13T02:32:18Z |
| publishDate | 2017-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Respiratory Medicine Case Reports |
| spelling | doaj.art-256517f493594d70b4979b939709fcf02022-12-22T00:02:29ZengElsevierRespiratory Medicine Case Reports2213-00712017-01-0122C22022310.1016/j.rmcr.2017.08.022A young immunocompetent patient with spontaneous Aspergillus empyema who developed severe eosinophiliaFumiaki Kudo0Hiromitsu Ohta1Yoshiaki Nagai2Kentaro Minegishi3Shinichiro Koyama4Department of Pulmonary Medicine, Jichi Medical University Saitama Medical Center, Saitama, JapanDepartment of Pulmonary Medicine, Jichi Medical University Saitama Medical Center, Saitama, JapanDepartment of Pulmonary Medicine, Jichi Medical University Saitama Medical Center, Saitama, JapanDepartment of General Thoracic Surgery, Jichi Medical University Saitama Medical Center, Saitama, JapanDepartment of Pulmonary Medicine, Jichi Medical University Saitama Medical Center, Saitama, JapanAspergillus empyema is usually reported as a complication of surgical procedures, and spontaneous cases are quite rare. Here, we describe the case of a 16-year-old man who suddenly developed dyspnea despite previously being healthy. Chest computed tomography showed multiple mass-containing cavity lesions, pneumothorax, and pleural effusion in the left thorax. Within 2 weeks, Aspergillus fumigatus grew from his pleural effusion, thus he was diagnosed with Aspergillus empyema. He also developed severe eosinophilia after admission, and was treated with anti-fungal drugs. Although there are many factors that can cause eosinophilia, we suspect that infection with Aspergillus fumigatus was the major cause of the eosinophilia in this patient. The lack of bronchial symptoms and lesions were not consistent with a diagnosis of allergic bronchopulmonary aspergillosis. As far as we know, this is the first case of spontaneous Aspergillus empyema resulting in severe eosinophilia.http://www.sciencedirect.com/science/article/pii/S2213007117302587Aspergillus empyemaEosinophiliaFungus |
| spellingShingle | Fumiaki Kudo Hiromitsu Ohta Yoshiaki Nagai Kentaro Minegishi Shinichiro Koyama A young immunocompetent patient with spontaneous Aspergillus empyema who developed severe eosinophilia Respiratory Medicine Case Reports Aspergillus empyema Eosinophilia Fungus |
| title | A young immunocompetent patient with spontaneous Aspergillus empyema who developed severe eosinophilia |
| title_full | A young immunocompetent patient with spontaneous Aspergillus empyema who developed severe eosinophilia |
| title_fullStr | A young immunocompetent patient with spontaneous Aspergillus empyema who developed severe eosinophilia |
| title_full_unstemmed | A young immunocompetent patient with spontaneous Aspergillus empyema who developed severe eosinophilia |
| title_short | A young immunocompetent patient with spontaneous Aspergillus empyema who developed severe eosinophilia |
| title_sort | young immunocompetent patient with spontaneous aspergillus empyema who developed severe eosinophilia |
| topic | Aspergillus empyema Eosinophilia Fungus |
| url | http://www.sciencedirect.com/science/article/pii/S2213007117302587 |
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