Document Detail


Bronchoscopic removal of a large intracavitary pulmonary aspergilloma.
MedLine Citation:
PMID:  23276848     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Pulmonary aspergilloma is a chronic fungal infection that has a high mortality when hemoptysis occurs. Surgery is the treatment of choice, but patients often have severe physiologic impairment putting them at risk for significant surgical morbidity and mortality. We present the case of a 63-year-old woman with a large aspergilloma, unfit for surgery due to medical reasons. The aspergilloma was enlarging, with progression of the patient's symptoms of anorexia, cough, chest discomfort, and hemoptysis. Bronchoscopy revealed an airway leading into a cavity with a large fungal ball. Biopsy confirmed Aspergillus fumigatus. Using flexible and rigid bronchoscopy, the aspergilloma was mechanically removed. Eighteen months later the patient reported no hemoptysis, reduced pain and cough, significant weight gain, and improved appetite, with no recurrence of the aspergilloma on repeat imaging. To our knowledge, this is the first reported case of bronchoscopic removal of a large cavitary aspergilloma. This important new treatment modality provides a viable alternative therapy for this potentially life-threatening problem.
Authors:
David R Stather; Alain Tremblay; Paul Maceachern; Alex Chee; Elaine Dumoulin; Olga Tourin; Gary A Gelfand; Christopher H Mody
Related Documents :
23864108 - Risk factors for superficial vs deep/organ-space surgical site infections: implications...
24304988 - Outcome of open transcortical approach in the management of intraventricular lesions.
23523928 - Salvage surgery after failed treatment of synthetic mesh sling complications.
24696298 - Can an "aesthetic" intervention (braided hair coil) cause hair loss after an aesthetic ...
22042568 - Laparoscopic assisted ercp in roux-en-y gastric bypass (rygb) surgery patients.
3935998 - Surgery in the very elderly.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Chest     Volume:  143     ISSN:  1931-3543     ISO Abbreviation:  Chest     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-01-01     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0231335     Medline TA:  Chest     Country:  United States    
Other Details:
Languages:  eng     Pagination:  238-41     Citation Subset:  AIM; IM    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Bullous pemphigoid with the unusual complication of tracheobronchial involvement.
Next Document:  Sleep medicine pharmacotherapeutics overview: today, tomorrow, and the future (part 2: hypersomnia, ...