Internal medicine (Tokyo, Japan) · 2016
Successful Treatment of Aspergillus Empyema Using Open Window Thoracostomy Salvage Treatment and the Local Administration of an Antifungal Agent.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Ashizawa Nobuyuki, Nakamura Shigeki, Ide Shotaro, Tashiro Masato, Takazono Takahiro, Imamura Yoshifumi, Miyazaki Taiga, Izumikawa Koichi, Yamamoto Yoshihiro, Yanagihara Katsunori, Miyazaki Yoshitsugu, Kohno Shigeru
Аннотация
A 76-year-old woman received long-term immunosuppressive treatment for collagen vascular disease-associated interstitial pneumonia. The patient developed a cavitary mass lesion in the right lower lung field, and both nontuberculous mycobacteria and Aspergillus spp. were isolated after bronchial washing. The patient underwent a right lower lobectomy but developed Aspergillus empyema. Empyema due to Aspergillus spp. is a rare and life-threatening condition; however, the standard therapeutic strategies for treating Aspergillus empyema are not clear. We herein report a case of Aspergillus empyema that was successfully treated with a combination therapy which included open-window thoracostomy and the administration of antifungal agents (systemic micafungin and local amphotericin-B).