Literature DB >> 22617507

Salvage therapy with topical antifungal for Aspergillus fumigatus empyema complicating extrapleural pneumonectomy.

Manoj Purohit1, Achyut Guleri, Joseph Zacharias.   

Abstract

We describe an unusual case of Aspergillus fumigatus empyema and bronchopleural fistulae after extrapleural pneumonectomy (EPP) and chemoradiotherapy (CRT), which was treated successfully under salvage conditions with debridement, an innovative topical antifungal application and supplemented systemic antifungal therapy and which went on for a definitive surgical procedure. Combinations of CRT and EPP have been recommended in a select group of patients with malignant mesothelioma. Irrespective of the combination, EPP is associated with mortality in the range of 4-15% and a complication rate as high as 62%.

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Year:  2012        PMID: 22617507      PMCID: PMC3422936          DOI: 10.1093/icvts/ivs217

Source DB:  PubMed          Journal:  Interact Cardiovasc Thorac Surg        ISSN: 1569-9285


  5 in total

1.  Fungal empyema thoracis: an emerging clinical entity.

Authors:  S C Ko; K Y Chen; P R Hsueh; K T Luh; P C Yang
Journal:  Chest       Date:  2000-06       Impact factor: 9.410

2.  Open window thoracostomy followed by intrathoracic flap transposition in the treatment of empyema complicating pulmonary resection.

Authors:  J F Regnard; M Alifano; P Puyo; E Fares; P Magdeleinat; P Levasseur
Journal:  J Thorac Cardiovasc Surg       Date:  2000-08       Impact factor: 5.209

3.  Successful management of postpneumonectomy Aspergillus pleural empyema by combined surgical and anti-fungal treatment with voriconazole and caspofungin.

Authors:  H Bonatti; C Lass-Floerl; K Angerer; N Singh; M Lechner; I Stelzmueller; R Singh; T Schmid; C Geltner
Journal:  Mycoses       Date:  2009-05-29       Impact factor: 4.377

4.  Incidence and management of complications after neoadjuvant chemotherapy followed by extrapleural pneumonectomy for malignant pleural mesothelioma.

Authors:  Isabelle Opitz; Peter Kestenholz; Didier Lardinois; Michael Müller; Valentin Rousson; Didier Schneiter; Rolf Stahel; Walter Weder
Journal:  Eur J Cardiothorac Surg       Date:  2006-02-21       Impact factor: 4.191

5.  Prevention, early detection, and management of complications after 328 consecutive extrapleural pneumonectomies.

Authors:  David J Sugarbaker; Michael T Jaklitsch; Raphael Bueno; William Richards; Jeanne Lukanich; Steven J Mentzer; Yolonda Colson; Phillip Linden; Michael Chang; Leah Capalbo; Elizabeth Oldread; Siyamek Neragi-Miandoab; Scott J Swanson; Lambros S Zellos
Journal:  J Thorac Cardiovasc Surg       Date:  2004-07       Impact factor: 5.209

  5 in total
  2 in total

1.  Surgical Management of an Aspergillus Empyema in a 3-Year-Old Child.

Authors:  Meletios A Kanakis; Konstantinos Th Petsios; Nicholas M Giannopoulos; Dimitrios Bobos; Sofia Hatzianastasiou; Lida C Sianidou; Achilleas Lioulias
Journal:  Case Rep Med       Date:  2020-05-05

2.  Acute exacerbation of idiopathic pulmonary fibrosis triggered by Aspergillus empyema.

Authors:  Atsushi Suzuki; Tomoki Kimura; Kensuke Kataoka; Toshiaki Matsuda; Toshiki Yokoyama; Yuta Mori; Yasuhiro Kondoh
Journal:  Respir Med Case Rep       Date:  2018-01-31
  2 in total

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