A rare presentation of aspergillus infection as empyema thoracis

A 57-year-old diabetic and hypertensive man presented with a short history of fever, dry cough and right side chest pain. A chest radiograph showed right pleural based homogenous shadow in middle and lower zones with obliteration of right costo-phrenic angle suggestive of right side effusion. Aspira...

Full description

Saved in:
Bibliographic Details
Published in:Lung India 2010-01, Vol.27 (1), p.27-29
Main Authors: Goel, Manoj K, Juneja, Deven, Jain, Satinder K, Chaudhuri, Saikiran, Kumar, Ajay
Format: Article
Language:English
Subjects:
Aspergillosis
aspergillus empyema
Care and treatment
Case Report
Case studies
Causes of
Diabetes
Diagnosis
Disease
Fever
Fungal infections
Health aspects
Lung diseases
Medical diagnosis
Mortality
multiloculated empyema
Postoperative period
Thoracotomy
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:A 57-year-old diabetic and hypertensive man presented with a short history of fever, dry cough and right side chest pain. A chest radiograph showed right pleural based homogenous shadow in middle and lower zones with obliteration of right costo-phrenic angle suggestive of right side effusion. Aspiration of pleural fluid revealed frank pus for which inter-costal tube drainage was performed. Due to persistence of empyema, the patient was subjected to thoracoscopy. Thoracoscopy showed multiloculated empyema. Thoracoscopic pleural biopsy and fluid showed septate fungal hyphae. Thoracotomy and parietal pleurectomy, with resection of part of right lower lobe, was carried out. Pleural fluid, pleural and lung tissue culture grew Aspergillus fumigatus. The patient showed good recovery with voriconazole after thoracotomy.
ISSN:0970-2113
0974-598X
DOI:10.4103/0970-2113.59265