Aspergillus tracheobronchitis, bronchopleural fistula and empyema after lobectomy for aspergilloma.
Aspergillus tracheobronchitis and Aspergillus empyema are two rare manifestations of Aspergillus infection. This case report presents a patient with chronic obstructive pulmonary disease who developed a pseudomembranous Aspergillus tracheobronchitis, bronchopleural fistula and empyema 16 months after lobectomy for an aspergilloma. Bronchoscopy proved to be important for assessment of severity. Combined systemic anti-fungal treatment (voriconazole) and open window thoracostomy were used to successfully treat the patient.
Department of Pneumology, Centre Hospitalier Universitaire Saint-Pierre, Rue Haute 322, B-1000 Brussels, Belgium.
Peter
P
Rummens
Department of Pneumology, Centre Hospitalier Universitaire Saint-Pierre, Rue Haute 322, B-1000 Brussels, Belgium.
Marie
M
Bruyneel
Department of Pneumology, Centre Hospitalier Universitaire Saint-Pierre, Rue Haute 322, B-1000 Brussels, Belgium.
Michele
M
Lungarella
Department of Pneumology, Centre Hospitalier Universitaire Saint-Pierre, Rue Haute 322, B-1000 Brussels, Belgium.
Vincent
V
Ninane
Aspergillus fumigatus; Empyema; Lobectomy complication; Pseudomembranous tracheobronchitis