A Case of Aspergilloma in Boy with Spontaneous Pneumothorax.

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We reported a case of a previously healthy 14 years old boy, had chest pain due to spontaneous pneumothorax of the right lung. Continuous drainage was not successful so that thoracotomy was performed and bullae were resected. Histologically, aspergilloma was found in the cavity. It is reported that pulmonary aspergilloma associated with chemotherapy induced immunodeficiency during childhood has been increasing. However pulmonary aspergilloma without previous immunodeficiency is considered to be quite rare. We conclude that even during childhood previously healthy children may have pulmonary aspergilloma. Serological allergic reaction and histological examination are important to decide therapeutic plan in spontaneous pneumothorax.
日本小児呼吸器疾患学会の論文