KMID : 0364019960290030350
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Korean Journal of Thoracic and Cardiovascular Surgery 1996 Volume.29 No. 3 p.350 ~ p.354
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Surgical Treatment of Pulmonary Mucormycosis
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Abstract
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Pulmonary mucormycosis is a very rare but often fatal opportunistic fungal infection caused by the order Mucorales in class Zygomycetes. Reported overall mortality exceeds 70% and the diagnosis is often made post-mortem. We experienced 2 cases of
typical form of pulmonary mucormycosis. One patient was a poorly controlled diabetic and the other suffered from acute lymphocytic leukemia(ALL). The former was diagnosed by a bronchoscopic biopsy and the latter by a pathologic examination from
the
percutaneous drain of a subphrenic abscess. Both of them underwent a surgical wexcision of the involved lung tissue. The patient with diabetes mellitus was successfully treated by surgical resection and discharged sithout complications. The other
with
ALL underwent a second operation and was transferred to the department of internal medicine for further management of his relapse of leukemia. Recent literature suggests that early aggressive diagnostic effort and treatment including surgical
resection
in the case of localized forms of the disease results in a good prognosis.
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KEYWORD
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