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...

Full description

Bibliographic Details
Main Authors: Hiromi Ichikawa, Ryoichiro Doi, Keitaro Matsumoto, Koichi Tomoshige, Masataka Hirabaru, Ryusuke Machino, Tomohiro Obata, Satoshi Mizoguchi, Junji Irie, Tomoshi Tsuchiya, Takeshi Nagayasu
Format: Article
Language:English
Published: Elsevier 2023-01-01
Series:Respiratory Medicine Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2213007123000643
_version_ 1797802847280037888
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
work_keys_str_mv AT hiromiichikawa spontaneouspleuralaspergillosisinanimmunocompetentyoungadulttreatedwithminimallyinvasivesurgery
AT ryoichirodoi spontaneouspleuralaspergillosisinanimmunocompetentyoungadulttreatedwithminimallyinvasivesurgery
AT keitaromatsumoto spontaneouspleuralaspergillosisinanimmunocompetentyoungadulttreatedwithminimallyinvasivesurgery
AT koichitomoshige spontaneouspleuralaspergillosisinanimmunocompetentyoungadulttreatedwithminimallyinvasivesurgery
AT masatakahirabaru spontaneouspleuralaspergillosisinanimmunocompetentyoungadulttreatedwithminimallyinvasivesurgery
AT ryusukemachino spontaneouspleuralaspergillosisinanimmunocompetentyoungadulttreatedwithminimallyinvasivesurgery
AT tomohiroobata spontaneouspleuralaspergillosisinanimmunocompetentyoungadulttreatedwithminimallyinvasivesurgery
AT satoshimizoguchi spontaneouspleuralaspergillosisinanimmunocompetentyoungadulttreatedwithminimallyinvasivesurgery
AT junjiirie spontaneouspleuralaspergillosisinanimmunocompetentyoungadulttreatedwithminimallyinvasivesurgery
AT tomoshitsuchiya spontaneouspleuralaspergillosisinanimmunocompetentyoungadulttreatedwithminimallyinvasivesurgery
AT takeshinagayasu spontaneouspleuralaspergillosisinanimmunocompetentyoungadulttreatedwithminimallyinvasivesurgery