A case of aspergilloma detected after surgery for pneumothorax.
We report a case of aspergilloma in an 80-year-old male patient who had no identifiable underlying disease before surgery for pneumothorax. He was hospitalized for left pneumothorax. A chest CT revealed a large bulla in the left lung apex with a nodule (diameter; 1.5 cm) at the edge of the bulla. After thoracodocesis, air leakage persisted and a large bulla and nodule were resected. Aspergillus was detected histopathologically in the nodule. Treatment with itraconazole 200 mg a day followed, and 4 months later he had no recurrent pneumothorax or Aspergillus infection.
Sakuraba
Motoki
M
Department of General Thoracic Surgery, Juntendo University, School of Medicine, Tokyo, Japan.
Sakao
Yukinori
Y
Yamazaki
Akio
A
Fukai
Ryuta
R
Shiomi
Kazu
K
Sonobe
Satoshi
S
Saito
Yuichi
Y
Imashimizu
Kohta
K
Matsunaga
Takeshi
T
Miyamoto
Hideaki
H
D000369:Aged, 80 and over; D001228:Aspergillosis / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology; D001768:Blister; D006801:Humans; D008172:Lung Diseases, Fungal / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology; D008297:Male; D011030:Pneumothorax / Q000000981:diagnostic imaging / Q000601:surgery*; D014057:Tomography, X-Ray Computed