title: [A case of pulmonary mucormycosis diagnosed through video-assisted thoracoscopic surgery--report of a case].
abstract: We report a case of pulmonary mucormycosis successfully treated by medical methods only. The patient was a 51-year-old man with diabetes mellitus who presented with general fatigue and appetite loss. His chest radiograph and CT scan showed multiple thin-walled cavities in the left upper lobe. Because we could arrive at a clear diagnosis, video-assisted thoracoscopic surgery was performed. Lung biopsy of the left upper lobe revealed pulmonary mucormycosis. Our diagnosis was pulmonary mucormycosis with diabetes mellitus and alcohol addiction. The patient was treated with antifungal drugs--mainly amphotericin-B--while the diabetes mellitus was well controlled, and his diet and nutritional state was improved, resulting in the disappearance of symptoms, improvement of the radiological findings, and the absence of any relapse of the disease of at least 3 years.
authors.affiliation: National Omuta Hospital, Omuta, Fukuoka, Japan.
authors.forename: Yukari
authors.initials: Y
authors.lastname: Ikedou
authors.forename: Mikiko
authors.initials: M
authors.lastname: Emori
authors.forename: Nobuhiko
authors.initials: N
authors.lastname: Nagata
authors.forename: Susumu
authors.initials: S
authors.lastname: Harada
authors.forename: Masahiko
authors.initials: M
authors.lastname: Horiuchi
authors.forename: Yoshinari
authors.initials: Y
authors.lastname: Kitahara
authors.forename: Masahiro
authors.initials: M
authors.lastname: Takamoto
mesh_terms: D000666:Amphotericin B / Q000627:therapeutic use; D000935:Antifungal Agents / Q000627:therapeutic use; D001706:Biopsy / Q000379:methods*; D006801:Humans; D008168:Lung / Q000473:pathology*; D008172:Lung Diseases, Fungal / Q000175:diagnosis* / Q000188:drug therapy; D008297:Male; D008875:Middle Aged; D009091:Mucormycosis / Q000175:diagnosis* / Q000188:drug therapy; D020775:Thoracic Surgery, Video-Assisted
chemical_list: D000935:Antifungal Agents; D000666:Amphotericin B