Pulmonary aspergillosis; a case report and review of eleven operative cases in Mitsui Memorial Hospital.

概要

論文の詳細を見る
A 52-year-old female was admitted to our hospital because of hemoptysis. Chest X-rays showed a thick walled cavity in the left upper lung field, and aspergillus fumigatus was found in all sputum specimens. So the diagnosis was pulmonary aspergillosis (intrapulmonary type). A left upper lobectomy with pre and post antifungul drug therapy resulted in cure.<BR>In our hospital 11 patients with pulmonary aspergillosis were treated surgically during the past three years. In 7 the disease was intrapulmonary and in 4 it was extrapulmonary (empyema). In 5 of the former we performed complete resection without leaving any aspergillus, but the other two developed aspergillus pneumonia and aspergillus empyema. In the latter group (empyema) curative resection with complete removal of aspergillus was possible in only two patients. In the other two some aspergillus persisted to the operation was unsuccessful. In the treatment of pulmonary aspergillosis we conclude that we should consider operation first only to reduce the amount of aspergillus in the intrapulmonary type. The indications for operation in the extrapulmonary type need careful consideration.
特定非営利活動法人日本呼吸器外科学会の論文