Article ; Online: Clinical characteristics and outcomes of pleural aspergillosis: a review of 13 cases.
2024 Volume 12, Issue 4, Page(s) e0385223
Abstract: Aspergillus pleurisy is a rare complication of invasive pulmonary aspergillosis (IPA), which mostly occurs in the immunocompromised host. The clinical condition is critical, especially to those who develop bronchopleural fistula. This study aimed to ... ...
Abstract | Aspergillus pleurisy is a rare complication of invasive pulmonary aspergillosis (IPA), which mostly occurs in the immunocompromised host. The clinical condition is critical, especially to those who develop bronchopleural fistula. This study aimed to assess the characteristics and the prognosis of aspergillus pleurisy. Clinical data from 13 patients diagnosed with aspergillus pleurisy in our hospital from January 2000 to December 2022 were retrospectively studied. Thirteen patients with Importance: Aspergillus pleurisy is a rare complication of invasive pulmonary aspergillosis (IPA), associated with a poor prognosis. The morbidity and mortality of this condition have not been thoroughly studied, and recent research on this topic is limited. The current study included 13 patients diagnosed with Aspergillus pleurisy, with the majority presenting concomitantly with a bronchopleural fistula. Among these patients, nine had a history of thoracic surgery, including lung transplantation and lobectomy. Four patients refused further treatment and were discharged against medical advice, while one patient succumbed to massive hemoptysis 2 years after discharge. This case series provides essential insights into Aspergillus pleurisy and evaluates the therapeutic strategy based on a limited cohort. |
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MeSH term(s) | Male ; Female ; Humans ; Adolescent ; Young Adult ; Adult ; Middle Aged ; Aged ; Invasive Pulmonary Aspergillosis/drug therapy ; Antifungal Agents/therapeutic use ; Hemoptysis/drug therapy ; Retrospective Studies ; Aspergillus ; Pleurisy/drug therapy ; Fistula/drug therapy |
Chemical Substances | Antifungal Agents |
Language | English |
Publishing date | 2024-02-27 |
Publishing country | United States |
Document type | Review ; Journal Article |
ZDB-ID | 2807133-5 |
ISSN | 2165-0497 ; 2165-0497 |
ISSN (online) | 2165-0497 |
ISSN | 2165-0497 |
DOI | 10.1128/spectrum.03852-23 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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