Spontaneous pleural aspergillosis in an immunocompetent young adult treated with minimally invasive surgery

Hiromi Ichikawa; Ryoichiro Doi; Keitaro Matsumoto; Koichi Tomoshige; Masataka Hirabaru; Ryusuke Machino; Tomohiro Obata; Satoshi Mizoguchi; Junji Irie; Tomoshi Tsuchiya; Takeshi Nagayasu

doi:10.1016/j.rmcr.2023.101869

Spontaneous pleural aspergillosis in an immunocompetent young adult treated with minimally invasive surgery

Hiromi Ichikawa^*, Ryoichiro Doi, Keitaro Matsumoto, Koichi Tomoshige, Masataka Hirabaru, Ryusuke Machino, Tomohiro Obata, Satoshi Mizoguchi, Junji Irie, Tomoshi Tsuchiya, Takeshi Nagayasu

^*Corresponding author for this work

General Thoracic and Cardiovascular Surgery

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

Spontaneous cases of pleural aspergillosis in healthy adults are rare, and the optimal therapeutic approach has not been established. Here we report a rare case of spontaneous pleural aspergillosis in an otherwise healthy young adult. Two-stage surgery with decortication and cavernostomy, followed by systemic antifungal therapy, finally resulted in a successful resolution of his empyema without any serious complications. In young patients with good pulmonary compliance, less invasive procedures, such as thoracoscopic decortication and/or carvernotomy, is a potential treatment option.

Original language	English
Article number	101869
Journal	Respiratory Medicine Case Reports
Volume	44
DOIs	https://doi.org/10.1016/j.rmcr.2023.101869
State	Published - 2023/01

Keywords

Aspergillus empyema
Cavernostomy
Decortication
Minimally invasive surgery
Pleural aspergillosis
Spontaneous pneumothorax

ASJC Scopus subject areas

Pulmonary and Respiratory Medicine

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10.1016/j.rmcr.2023.101869

Cite this

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title = "Spontaneous pleural aspergillosis in an immunocompetent young adult treated with minimally invasive surgery",

abstract = "Spontaneous cases of pleural aspergillosis in healthy adults are rare, and the optimal therapeutic approach has not been established. Here we report a rare case of spontaneous pleural aspergillosis in an otherwise healthy young adult. Two-stage surgery with decortication and cavernostomy, followed by systemic antifungal therapy, finally resulted in a successful resolution of his empyema without any serious complications. In young patients with good pulmonary compliance, less invasive procedures, such as thoracoscopic decortication and/or carvernotomy, is a potential treatment option.",

keywords = "Aspergillus empyema, Cavernostomy, Decortication, Minimally invasive surgery, Pleural aspergillosis, Spontaneous pneumothorax",

author = "Hiromi Ichikawa and Ryoichiro Doi and Keitaro Matsumoto and Koichi Tomoshige and Masataka Hirabaru and Ryusuke Machino and Tomohiro Obata and Satoshi Mizoguchi and Junji Irie and Tomoshi Tsuchiya and Takeshi Nagayasu",

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year = "2023",

month = jan,

doi = "10.1016/j.rmcr.2023.101869",

language = "英語",

volume = "44",

journal = "Respiratory Medicine Case Reports",

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T1 - Spontaneous pleural aspergillosis in an immunocompetent young adult treated with minimally invasive surgery

AU - Ichikawa, Hiromi

AU - Doi, Ryoichiro

AU - Matsumoto, Keitaro

AU - Tomoshige, Koichi

AU - Hirabaru, Masataka

AU - Machino, Ryusuke

AU - Obata, Tomohiro

AU - Mizoguchi, Satoshi

AU - Irie, Junji

AU - Tsuchiya, Tomoshi

AU - Nagayasu, Takeshi

PY - 2023/1

Y1 - 2023/1

N2 - Spontaneous cases of pleural aspergillosis in healthy adults are rare, and the optimal therapeutic approach has not been established. Here we report a rare case of spontaneous pleural aspergillosis in an otherwise healthy young adult. Two-stage surgery with decortication and cavernostomy, followed by systemic antifungal therapy, finally resulted in a successful resolution of his empyema without any serious complications. In young patients with good pulmonary compliance, less invasive procedures, such as thoracoscopic decortication and/or carvernotomy, is a potential treatment option.

AB - Spontaneous cases of pleural aspergillosis in healthy adults are rare, and the optimal therapeutic approach has not been established. Here we report a rare case of spontaneous pleural aspergillosis in an otherwise healthy young adult. Two-stage surgery with decortication and cavernostomy, followed by systemic antifungal therapy, finally resulted in a successful resolution of his empyema without any serious complications. In young patients with good pulmonary compliance, less invasive procedures, such as thoracoscopic decortication and/or carvernotomy, is a potential treatment option.

KW - Aspergillus empyema

KW - Cavernostomy

KW - Decortication

KW - Minimally invasive surgery

KW - Pleural aspergillosis

KW - Spontaneous pneumothorax

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U2 - 10.1016/j.rmcr.2023.101869

DO - 10.1016/j.rmcr.2023.101869

M3 - 学術論文

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AN - SCOPUS:85159149418

SN - 2213-0071

VL - 44

JO - Respiratory Medicine Case Reports

JF - Respiratory Medicine Case Reports

M1 - 101869

ER -

Spontaneous pleural aspergillosis in an immunocompetent young adult treated with minimally invasive surgery

Abstract

Keywords

ASJC Scopus subject areas

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