KMID : 0364020120450010056
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Korean Journal of Thoracic and Cardiovascular Surgery 2012 Volume.45 No. 1 p.56 ~ p.59
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A Surgically Treated Case of Chronic Necrotizing Aspergillosis with Pleural Invasion
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Lee Kyung-Hak
Ryu Se-Min Park Sung-Min Park Hyun-Seok Lee Kang-Hoon Cho Seong-Joon
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Abstract
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Aspergillus is a ubiquitous fungus and can cause many levels of disease severity. Chronic necrotizing aspergillosis is a rare disease and few cases have been reported in Korea. We experienced a case of pleural aspergillosis that was treated successfully with medical and surgical interventions. The 52-year-old man who was diagnosed with chronic necrotizing pulmonary aspergillosis underwent surgical treatment including a lobectomy, decortication, and myoplasty. The patient was also medically treated with amphotericin B followed by voriconazole. Pleural irrigation with amphotericin B was also performed. A multi-dimensional approach should be considered for treating chronic necrotizing pulmonary aspergillosis.
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KEYWORD
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Pleural disease, Fungal infection, Decortication, Lung surgery, Aspergillosis
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