title: [The treatment of Aspergillus empyema using open thoraco-myoplasty with the preservation of lung function -- case report].
abstract: METHODS
  Invasive aspergillosis is a life threatening complication in immune-compromised patients causing lung tissue destruction. Aspergillus empyema requires aggressive multimodality treatment.
  
  
  METHODS
  We present a case of Aspergillus empyema treated by thoracic and plastic surgery preserving the lung function in an 18 year-old male patient suffering dermatomyositis and treated with steroids for a long time. After open window thoracostomy (OWT) we used pedicled musculus latissimus dorsi (MLD) flap and mobilised the anterior serratus muscle to close the pleural cavity.
  
  
  CONCLUSIONS
  The intrathoracic use of muscle flaps after OWT in case of chronic Aspergillus empyema can preserve the underlying lung tissue. Cooperation of thoracic and plastic surgeons - as in the cases presented - provides an excellent opportunity to treat successfully of otherwise hopeless patients.
authors.affiliation: Országos Onkológiai Intézet Mellkassebészeti Osztály Budapest.
authors.forename: László
authors.initials: L
authors.lastname: Agócs
authors.forename: Bernadett
authors.initials: B
authors.lastname: Lévay
authors.forename: Ákos
authors.initials: Á
authors.lastname: Kocsis
authors.forename: Györgyi
authors.initials: G
authors.lastname: Szabó
authors.forename: Eldin Mohamed
authors.initials: EM
authors.lastname: Gamal
authors.forename: Lívia
authors.initials: L
authors.lastname: Rojkó
authors.forename: József
authors.initials: J
authors.lastname: Sándor
authors.forename: György
authors.initials: G
authors.lastname: Wéber
mesh_terms: D003882:Dermatomyositis / Q000188:drug therapy; D016724:Empyema, Pleural / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008168:Lung / Q000503:physiopathology*; D008297:Male; D018482:Muscle, Skeletal / Q000601:surgery*; D055732:Pulmonary Aspergillosis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D012129:Respiratory Function Tests; D013256:Steroids / Q000008:administration & dosage / Q000009:adverse effects; D013524:Surgical Flaps; D013907:Thoracostomy; D013908:Thoracotomy; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D013256:Steroids
keywords: Aspergillus fumigatus; empyema; thoracomyoplastica; thoracomyoplasty