Aspergilloma in a hydatid cavity

Respiratory medicine CME Pub Date : 2010-01-01 DOI:10.1016/j.rmedc.2009.02.002

Sameh M'saad , Lobna Ayedi , Mohamed Abdennader , Najla Bahloul , Abdessalem Hentati , Chouki Dabbech , Imed Frikha , Tahia Boudawara , Abdelkhader Ayoub

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引用次数: 8

Abstract

Aspergilloma is a saprophytic infection that consists of masses of fungal mycelium that occurs in pre-existing cavities usually due to tuberculosis, bronchestasis or pulmonary infraction. However, few cases of aspergilloma within hydatid cyst have been reported in literature.

We describe two patients with aspergilloma formed within cyst hydatid. Both patients consulted because of recurrent hemoptysis. In a 52-year-old woman, diagnosis was established by a transthoracic CT biopsy. Treatment consisted of postero-lateral thracotomy with wedge resection of tow aspergilloma in the left upper lobe. In a 56-year-old man, thoracotomy with lower right lobectomy was performed at emergency because of massive hemoptysis. In both cases, patients progressed favourably without antifungal therapy.

Aspergilloma is an unusual complication of hydatid cyst. It results from the deterioration of local defence against opportunistic infections. Prognosis appears to be better than aspergilloma within tuberculosis cavities.

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在包虫腔内的曲菌瘤

曲霉菌瘤是一种腐生性感染，由大量真菌菌丝体组成，通常由肺结核、支气管扩张或肺梗塞引起。然而，文献中很少报道包虫病内的曲菌瘤。我们描述了两例在包虫病内形成曲菌瘤的患者。两例患者均因反复咯血就诊。52岁女性，经胸CT活检确诊。治疗包括后外侧胸腔切开术，楔形切除左上肺叶两个曲菌瘤。56岁男性患者因大量咯血急诊行开胸合并右下肺叶切除术。在这两种情况下，患者在没有抗真菌治疗的情况下进展良好。曲菌肿是包虫病的罕见并发症。这是由于当地对机会性感染的防御能力恶化造成的。预后似乎比结核腔内曲菌瘤好。

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Respiratory medicine CME

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