Salvage lung resection for massive hemoptysis after resolution of pulmonary aspergillosis in a patient with acute leukemia.
A 58-year-old woman with acute myelogenous leukemia in complete remission underwent successful pulmonary resection for massive hemoptysis occurring after resolution of pulmonary aspergillosis. Despite the fact that the role of surgery in the treatment of pulmonary mycosis in immunocompromised hosts is still to be clearly defined, emergency lung resections can be successfully performed in this group of patients with almost immediate recovery of stable clinical parameters. Brisk recovery can reduce overall morbidity and mortality and allow for early resumption of any necessary treatment for underlying disease.
Venuta
F
F
Department of Thoracic Surgery, La Sapienza, University of Rome, Italy.
Rendina
E A
EA
Pescarmona
E
E
Francioni
F
F
Fazi
P
P
Spadea
A
A
Ricci
C
C
D000666:Amphotericin B / Q000627:therapeutic use; D000935:Antifungal Agents / Q000627:therapeutic use; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D001228:Aspergillosis / Q000000981:diagnostic imaging / Q000188:drug therapy*; D017809:Fatal Outcome; D005260:Female; D006469:Hemoptysis / Q000209:etiology* / Q000601:surgery*; D006801:Humans; D016867:Immunocompromised Host; D015470:Leukemia, Myeloid, Acute / Q000188:drug therapy*; D008168:Lung / Q000000981:diagnostic imaging / Q000601:surgery*; D008171:Lung Diseases / Q000000981:diagnostic imaging / Q000188:drug therapy*; D008875:Middle Aged; D013902:Radiography, Thoracic; D016879:Salvage Therapy
D000935:Antifungal Agents; D000666:Amphotericin B