Spontaneous pleural aspergillosis in an immunocompetent young adult treated with minimally invasive surgery
Spontaneous cases of pleural aspergillosis in healthy adults are rare, and the optimal therapeutic approach has not been established. Here we report a rare case of spontaneous pleural aspergillosis in an otherwise healthy young adult. Two-stage surgery with decortication and cavernostomy, followed b...
Main Authors: | , , , , , , , , , , |
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Format: | Article |
Language: | English |
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Elsevier
2023-01-01
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Series: | Respiratory Medicine Case Reports |
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Online Access: | http://www.sciencedirect.com/science/article/pii/S2213007123000643 |
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author | Hiromi Ichikawa Ryoichiro Doi Keitaro Matsumoto Koichi Tomoshige Masataka Hirabaru Ryusuke Machino Tomohiro Obata Satoshi Mizoguchi Junji Irie Tomoshi Tsuchiya Takeshi Nagayasu |
author_facet | Hiromi Ichikawa Ryoichiro Doi Keitaro Matsumoto Koichi Tomoshige Masataka Hirabaru Ryusuke Machino Tomohiro Obata Satoshi Mizoguchi Junji Irie Tomoshi Tsuchiya Takeshi Nagayasu |
author_sort | Hiromi Ichikawa |
collection | DOAJ |
description | Spontaneous cases of pleural aspergillosis in healthy adults are rare, and the optimal therapeutic approach has not been established. Here we report a rare case of spontaneous pleural aspergillosis in an otherwise healthy young adult. Two-stage surgery with decortication and cavernostomy, followed by systemic antifungal therapy, finally resulted in a successful resolution of his empyema without any serious complications. In young patients with good pulmonary compliance, less invasive procedures, such as thoracoscopic decortication and/or carvernotomy, is a potential treatment option. |
first_indexed | 2024-03-13T05:11:57Z |
format | Article |
id | doaj.art-58137b0a331f4f01b3eb58c1e21aa607 |
institution | Directory Open Access Journal |
issn | 2213-0071 |
language | English |
last_indexed | 2024-03-13T05:11:57Z |
publishDate | 2023-01-01 |
publisher | Elsevier |
record_format | Article |
series | Respiratory Medicine Case Reports |
spelling | doaj.art-58137b0a331f4f01b3eb58c1e21aa6072023-06-16T05:09:38ZengElsevierRespiratory Medicine Case Reports2213-00712023-01-0144101869Spontaneous pleural aspergillosis in an immunocompetent young adult treated with minimally invasive surgeryHiromi Ichikawa0Ryoichiro Doi1Keitaro Matsumoto2Koichi Tomoshige3Masataka Hirabaru4Ryusuke Machino5Tomohiro Obata6Satoshi Mizoguchi7Junji Irie8Tomoshi Tsuchiya9Takeshi Nagayasu10Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Sciences, Sakamoto 1-7-1, Nagasaki, 852-8102, Japan; Corresponding author. Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan.Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Sciences, Sakamoto 1-7-1, Nagasaki, 852-8102, JapanDepartment of Surgical Oncology, Nagasaki University Graduate School of Biomedical Sciences, Sakamoto 1-7-1, Nagasaki, 852-8102, JapanDepartment of Surgical Oncology, Nagasaki University Graduate School of Biomedical Sciences, Sakamoto 1-7-1, Nagasaki, 852-8102, JapanDepartment of Respiratory Surgery, Nagasaki Harbor Medical Center, Shinchi-machi 6-39, Nagasaki, 850-0842, JapanDepartment of Surgical Oncology, Nagasaki University Graduate School of Biomedical Sciences, Sakamoto 1-7-1, Nagasaki, 852-8102, JapanDepartment of Surgical Oncology, Nagasaki University Graduate School of Biomedical Sciences, Sakamoto 1-7-1, Nagasaki, 852-8102, JapanDepartment of Surgical Oncology, Nagasaki University Graduate School of Biomedical Sciences, Sakamoto 1-7-1, Nagasaki, 852-8102, JapanDepartment of Pathology, Nagasaki Harbor Medical Center, Shinchi-machi 6-39, Nagasaki, 850-0842, JapanDepartment of Thoracic General Surgery, Toyama University Hospital, Sugitani 2630, Toyama, 930-0194, JapanDepartment of Surgical Oncology, Nagasaki University Graduate School of Biomedical Sciences, Sakamoto 1-7-1, Nagasaki, 852-8102, JapanSpontaneous cases of pleural aspergillosis in healthy adults are rare, and the optimal therapeutic approach has not been established. Here we report a rare case of spontaneous pleural aspergillosis in an otherwise healthy young adult. Two-stage surgery with decortication and cavernostomy, followed by systemic antifungal therapy, finally resulted in a successful resolution of his empyema without any serious complications. In young patients with good pulmonary compliance, less invasive procedures, such as thoracoscopic decortication and/or carvernotomy, is a potential treatment option.http://www.sciencedirect.com/science/article/pii/S2213007123000643Pleural aspergillosisAspergillus empyemaSpontaneous pneumothoraxDecorticationCavernostomyMinimally invasive surgery |
spellingShingle | Hiromi Ichikawa Ryoichiro Doi Keitaro Matsumoto Koichi Tomoshige Masataka Hirabaru Ryusuke Machino Tomohiro Obata Satoshi Mizoguchi Junji Irie Tomoshi Tsuchiya Takeshi Nagayasu Spontaneous pleural aspergillosis in an immunocompetent young adult treated with minimally invasive surgery Respiratory Medicine Case Reports Pleural aspergillosis Aspergillus empyema Spontaneous pneumothorax Decortication Cavernostomy Minimally invasive surgery |
title | Spontaneous pleural aspergillosis in an immunocompetent young adult treated with minimally invasive surgery |
title_full | Spontaneous pleural aspergillosis in an immunocompetent young adult treated with minimally invasive surgery |
title_fullStr | Spontaneous pleural aspergillosis in an immunocompetent young adult treated with minimally invasive surgery |
title_full_unstemmed | Spontaneous pleural aspergillosis in an immunocompetent young adult treated with minimally invasive surgery |
title_short | Spontaneous pleural aspergillosis in an immunocompetent young adult treated with minimally invasive surgery |
title_sort | spontaneous pleural aspergillosis in an immunocompetent young adult treated with minimally invasive surgery |
topic | Pleural aspergillosis Aspergillus empyema Spontaneous pneumothorax Decortication Cavernostomy Minimally invasive surgery |
url | http://www.sciencedirect.com/science/article/pii/S2213007123000643 |
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