title: [Open drainage with Vacuum Assisted Closure( VAC) therapy for Aspergillus empyema after left upper lobectomy with adjuvant radiotherapy].
abstract: A 59-year-old man was diagnosed as Aspergillus empyema with fistula after left upper lobectomy and radiation therapy. His pyrexia was continued after conservative treatment with antifungal agents. Initially, fenestration and vacuum-assisted closure (VAC) therapy were performed. The Aspergillus terreusdisappeared and inflammatory reactions were normalized. Eight days after fenestration, pectoralis major muscle flap transposition was subsequently performed. His postoperative course was uneventful. No recurrent empyema was found 15 months after surgery.
authors: Department of Chest Surgery, Niigata Prefectural Central Hospital, Jyoetsu, Japan.
authors: Tatsuya
authors: T
authors: Gotoh
authors: Tadashi
authors: T
authors: Aoki
authors: Masatomo
authors: M
authors: Yazawa
mesh_terms: D001228:Aspergillosis / Q000628:therapy*; D004322:Drainage / Q000379:methods; D016724:Empyema, Pleural / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D054843:Negative-Pressure Wound Therapy; D011013:Pneumonectomy; D055732:Pulmonary Aspergillosis / Q000628:therapy; D018714:Radiotherapy, Adjuvant