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Published in: Journal of Medical Case Reports 1/2010

Open Access 01-12-2010 | Case report

Pleural aspergillosis complicated by recurrent pneumothorax: a case report

Authors: Weihua Zhang, Ye Hu, Liang'an Chen, Jie Gao, Lixin Xie

Published in: Journal of Medical Case Reports | Issue 1/2010

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Abstract

Introduction

Pneumothorax as the first symptom of pleural aspergillosis is rare.

Case presentation

A 31-year-old asthmatic Chinese man presented with recurrent spontaneous pneumothorax and underwent lobectomy due to persistent air leakage. Aspergillus was detected histopathologically in the visceral pleural cavity. He was treated with itraconazole at 200 mg a day, and nine months later he had no recurrent pneumothorax or aspergillus infection.

Conclusion

Recurrent pneumothorax may be a rare manifestation of aspergillus infection. Aspergillus species infection should be considered in the differential diagnosis of recurrent pneumothorax patients, particularly those with chronic lung disease.
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Literature
1.
go back to reference Groll AH, Shah PM, Mentzel C, Schneider M, Just-Nuebling G, Huebner K: Trends in the postmortem epidemiology of invasive fungal infections at a university hospital. J Infect. 1996, 33: 23-32. 10.1016/S0163-4453(96)92700-0.CrossRefPubMed Groll AH, Shah PM, Mentzel C, Schneider M, Just-Nuebling G, Huebner K: Trends in the postmortem epidemiology of invasive fungal infections at a university hospital. J Infect. 1996, 33: 23-32. 10.1016/S0163-4453(96)92700-0.CrossRefPubMed
2.
go back to reference Sakuraba M, Sakao Y, Yamazaki A, Fukai R, Shiomi K, Sonobe S, Saito Y, Imashimizu K, Matsunaga T, Miyamoto H: A Case of Aspergilloma Detected after Surgery for Pneumothorax. Ann Thorac Cardiovasc Surg. 2006, 12: 267-269.PubMed Sakuraba M, Sakao Y, Yamazaki A, Fukai R, Shiomi K, Sonobe S, Saito Y, Imashimizu K, Matsunaga T, Miyamoto H: A Case of Aspergilloma Detected after Surgery for Pneumothorax. Ann Thorac Cardiovasc Surg. 2006, 12: 267-269.PubMed
3.
go back to reference Matsumoto S, Takenaka K, Maezono K: Two cases of Aspergillus infection detected during surgery for pneumothorax. J Jpn Assoc Chest Surg. 1999, 13: 654-659. 10.2995/jacsurg.13.654.CrossRef Matsumoto S, Takenaka K, Maezono K: Two cases of Aspergillus infection detected during surgery for pneumothorax. J Jpn Assoc Chest Surg. 1999, 13: 654-659. 10.2995/jacsurg.13.654.CrossRef
4.
go back to reference Hiura K, Karoh O, Kawashima M, Nakata H, Aoki Y, Nakahara Y, Kuroki S, Yamada H: A case of spontaneous pneumothorax due to rupture of bleb infected with aspergillosis. Nihon Kyobu Shikkan Gakkai Zasshi. 1993, 31 (3): 364-367.PubMed Hiura K, Karoh O, Kawashima M, Nakata H, Aoki Y, Nakahara Y, Kuroki S, Yamada H: A case of spontaneous pneumothorax due to rupture of bleb infected with aspergillosis. Nihon Kyobu Shikkan Gakkai Zasshi. 1993, 31 (3): 364-367.PubMed
5.
go back to reference Sagara Y, Mitoma Y, Shiraisi Y, Fukushima K, Komatsu H, Katayama T: Pneumothorax associated with a bleb infected with Aspergillus: a case report. J Jpn Assoc Chest Surg. 1994, 8: 65-69. 10.2995/jacsurg.8.65.CrossRef Sagara Y, Mitoma Y, Shiraisi Y, Fukushima K, Komatsu H, Katayama T: Pneumothorax associated with a bleb infected with Aspergillus: a case report. J Jpn Assoc Chest Surg. 1994, 8: 65-69. 10.2995/jacsurg.8.65.CrossRef
6.
go back to reference Takeda N, Nakajima H, Umehara M: A case of aspergilloma in a boy with spontaneous pneumothorax. Jpn J Pediatr Pulmon. 1995, 6: 115-119.CrossRef Takeda N, Nakajima H, Umehara M: A case of aspergilloma in a boy with spontaneous pneumothorax. Jpn J Pediatr Pulmon. 1995, 6: 115-119.CrossRef
7.
go back to reference Kobashi Y, Kimura M, Tano Y: Chronic necrotizing pulmonary aspergillosis complicated by pneumothorax. Nihon Kyobu Shikkan Gakkai Zasshi. 1996, 34 (2): 210-215.PubMed Kobashi Y, Kimura M, Tano Y: Chronic necrotizing pulmonary aspergillosis complicated by pneumothorax. Nihon Kyobu Shikkan Gakkai Zasshi. 1996, 34 (2): 210-215.PubMed
8.
go back to reference van Klink HC, Stolk J: Pneumothorax as a complication of chronic necrotizing pulmonary aspergillosis. Ned Tijdschr Geneeskd. 2005, 149 (11): 598-600.PubMed van Klink HC, Stolk J: Pneumothorax as a complication of chronic necrotizing pulmonary aspergillosis. Ned Tijdschr Geneeskd. 2005, 149 (11): 598-600.PubMed
9.
go back to reference Winne L, Praet M, Brusselle G, Veys E, Mielants H: Bilateral spontaneous pneumothorax in a patient with pulmonary rheumatoid nodules, secondary infected by Aspergillus. Clin Rheumatol. 2007, 26: 1180-1182. 10.1007/s10067-006-0319-x.CrossRefPubMed Winne L, Praet M, Brusselle G, Veys E, Mielants H: Bilateral spontaneous pneumothorax in a patient with pulmonary rheumatoid nodules, secondary infected by Aspergillus. Clin Rheumatol. 2007, 26: 1180-1182. 10.1007/s10067-006-0319-x.CrossRefPubMed
10.
go back to reference Pinel C, Fricker-Hidalgo H, Lebeau B, Garban F, Hamidfar R, Ambroise-Thomas P, Grillot R: Detection of circulating Aspergillus fumigatus galactomannan: value and limits of the Platelia test for diagnosis of invasive aspergillosis. J Clin Microbiol. 2003, 41: 2184-2186. 10.1128/JCM.41.5.2184-2186.2003.CrossRefPubMedPubMedCentral Pinel C, Fricker-Hidalgo H, Lebeau B, Garban F, Hamidfar R, Ambroise-Thomas P, Grillot R: Detection of circulating Aspergillus fumigatus galactomannan: value and limits of the Platelia test for diagnosis of invasive aspergillosis. J Clin Microbiol. 2003, 41: 2184-2186. 10.1128/JCM.41.5.2184-2186.2003.CrossRefPubMedPubMedCentral
11.
go back to reference Nishi K, Yamada M, Morishita D, Nakamura Y, Murata Y, Fujioka M, Muramoto S, Murakami S, Sasaki K, Yasui M: A case of pulmonary aspergillosis presenting pulmonary bulla and eosinophilic pneumonia. Nihon Kyobu Shikkan Gakkai Zasshi. 1991, 29 (7): 904-908.PubMed Nishi K, Yamada M, Morishita D, Nakamura Y, Murata Y, Fujioka M, Muramoto S, Murakami S, Sasaki K, Yasui M: A case of pulmonary aspergillosis presenting pulmonary bulla and eosinophilic pneumonia. Nihon Kyobu Shikkan Gakkai Zasshi. 1991, 29 (7): 904-908.PubMed
Metadata
Title
Pleural aspergillosis complicated by recurrent pneumothorax: a case report
Authors
Weihua Zhang
Ye Hu
Liang'an Chen
Jie Gao
Lixin Xie
Publication date
01-12-2010
Publisher
BioMed Central
Published in
Journal of Medical Case Reports / Issue 1/2010
Electronic ISSN: 1752-1947
DOI
https://doi.org/10.1186/1752-1947-4-180

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