Resection of chest wall and central veins for invasive cutaneous aspergillus infection in an immunocompromised patient.
Primary cutaneous invasive Aspergillus infection at a Hickman catheter site led to chest wall involvement and central venous suppurative thrombophlebitis in a patient with relapsed acute myelogenous leukemia. Therapy included high-dose amphotericin B, serial wound debridements pending bone marrow recovery, and definitive resection of the infected chest wall and thrombosed internal jugular, subclavian, and innominate veins. To our knowledge, this procedure for control of invasive fungal infection has not been reported previously.
Buescher
T M
TM
Division of Plastic and Reconstructive Surgery, Brooke Army Medical Center, Fort Sam Houston, Tex.
Moritz
D M
DM
Killyon
G W
GW
D000328:Adult; D001228:Aspergillosis / Q000601:surgery*; D001231:Aspergillus flavus; D016121:Brachiocephalic Veins / Q000601:surgery; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D003881:Dermatomycoses / Q000209:etiology / Q000473:pathology; D006801:Humans; D016867:Immunocompromised Host; D007601:Jugular Veins / Q000601:surgery; D015470:Leukemia, Myeloid, Acute / Q000276:immunology; D008297:Male; D013350:Subclavian Vein / Q000601:surgery; D013896:Thoracic Diseases / Q000209:etiology / Q000601:surgery*; D014652:Vascular Diseases / Q000209:etiology / Q000601:surgery; D014680:Veins