A case of aspergilloma detected after surgery for pneumothorax
Sakuraba, M.; Sakao, Y.; Yamazaki, A.; Fukai, R.; Shiomi, K.; Sonobe, S.; Saito, Y.; Imashimizu, K.; Matsunaga, T.; Miyamoto, H.
Annals of Thoracic and Cardiovascular Surgery Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia 12(4): 267-269
2006
ISSN/ISBN: 1341-1098 PMID: 16977297 Document Number: 603766
We report a case of aspergilloma in an 80-year-old male patient who had no identifiable underlying disease before surgery for pneumothorax. He was hospitalized for left pneumothorax. A chest CT revealed a large bulla in the left lung apex with a nodule (diameter; 1.5 cm) at the edge of the bulla. After thoracodocesis, air leakage persisted and a large bulla and nodule were resected. Aspergillus was detected histopathologically in the nodule. Treatment with itraconazole 200 mg a day followed, and 4 months later he had no recurrent pneumothorax or Aspergillus infection.