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A case of aspergilloma detected after surgery for pneumothorax.
Authors:Motoki Sakuraba  Yukinori Sakao  Akio Yamazaki  Ryuta Fukai  Kazu Shiomi  Satoshi Sonobe  Yuichi Saito  Kohta Imashimizu  Takeshi Matsunaga  Hideaki Miyamoto
Institution:Department of General Thoracic Surgery, Juntendo University, School of Medicine, Tokyo, Japan.
Abstract:We report a case of aspergilloma in an 80-year-old male patient who had no identifiable underlying disease before surgery for pneumothorax. He was hospitalized for left pneumothorax. A chest CT revealed a large bulla in the left lung apex with a nodule (diameter; 1.5 cm) at the edge of the bulla. After thoracodocesis, air leakage persisted and a large bulla and nodule were resected. Aspergillus was detected histopathologically in the nodule. Treatment with itraconazole 200 mg a day followed, and 4 months later he had no recurrent pneumothorax or Aspergillus infection.
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