Use of video-assisted thoracoscopy surgery for the treatment of Aspergillus empyema with bronchopleural fistula.
Pulmonary aspergillus empyema with bronchopleural fistula is a rare and severe disease with a poor prognosis. In this report, we describe the successful surgical treatment of this condition in a 34-year-old man who was initially hospitalized due to complications of chronic hepatitis B. While under artificial liver therapy and as a consequence of long-term corticosteroid use, the patient developed invasive pulmonary aspergillosis, which was further complicated by an empyema and a bronchopleural fistula.Video-assisted thoracoscopy surgery was performed following failure of the prescribed antifungal treatment and chest tube drainage, and the empyema resolved completely 3 months postoperatively,with no evidence of recurrence after 5 months' follow-up.
Feng
Q
Q
Department of Cardiothoracic Surgery, The First Affiliated Hospital of Medical School, Zhejiang University, Hangzhou, PR China. fengqiang1088@yahoo.com.cn
Ma
L
L
Gabrielle
G
G
Yu
G-W
GW
D000328:Adult; D000935:Antifungal Agents / Q000627:therapeutic use; D001983:Bronchial Fistula / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery*; D004653:Empyema / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery*; D006801:Humans; D055744:Invasive Pulmonary Aspergillosis / Q000150:complications / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery*; D008297:Male; D010995:Pleural Diseases / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery*; D016156:Respiratory Tract Fistula / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery*; D020775:Thoracic Surgery, Video-Assisted; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D000935:Antifungal Agents