[Tension pneumothorax after acute airway displacement due to pulmonary aspergillosis].
Acute lymphoblastic leukaemia is the most common malignancy in childhood. This disease and its associated therapy may lead to specific life-threatening complications if general anaesthesia has to be carried out. The case of a 14-year-old boy suffering from aspergillosis because of immunosuppression in the course of chemotherapy is reported. Due to a cerebral round lesion an open biopsy was required. After induction of anaesthesia, severe pulmonary obstruction developed. After exchange of the endotracheal tube a coagulum-like foreign body interspersed with Aspergillus hyphae obstructing the distal aperture in a valve-like manner could be recovered. The resulting unilateral tension pneumothorax had to be relieved with a closed pleural drainage. With reference to this as yet unreported life-threatening complication of pulmonary aspergillosis, the appropriate preparation and conduction of general anaesthesia are discussed.
Söllmann
C
C
Klinik und Poliklinik für Anästhesiologie, Universitätsklinik Würzburg, Würzburg, Deutschland. dir.anaesth@klinik.uni-wuerzburg.de
Trautner
H
H
Papenfuss
T
T
Lange
M
M
Roewer
N
N
D000293:Adolescent; D000402:Airway Obstruction / Q000209:etiology; D000768:Anesthesia, General; D000970:Antineoplastic Agents / Q000009:adverse effects / Q000627:therapeutic use; D001706:Biopsy; D001921:Brain / Q000473:pathology; D004322:Drainage; D006801:Humans; D007154:Immune System Diseases / Q000139:chemically induced; D007442:Intubation, Intratracheal; D008297:Male; D011030:Pneumothorax / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology; D054198:Precursor Cell Lymphoblastic Leukemia-Lymphoma / Q000150:complications; D055732:Pulmonary Aspergillosis / Q000150:complications* / Q000382:microbiology / Q000473:pathology; D011859:Radiography
D000970:Antineoplastic Agents