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Laparoscopic Endoscopic Surgical Science Plevra Aspergillozis: Nadir Grlen Bir Mantar Enfeksiyonu [Respir Case Rep]
Respir Case Rep. 2016; 5(3): 181-183 | DOI: 10.5505/respircase.2016.38991

Plevra Aspergillozis: Nadir Grlen Bir Mantar Enfeksiyonu

Taha Tahir Beki1, Mustafa alk2, Suleyman Emre Akn2, Saniye Goknil alk3, Hdr Esme2
1Konya Eitim Ve Aratrma Hastanesi Gs Hastalklar Klinii, Konya, Trkiye
2Konya Eitim Ve Aratrma Hastanesi Gs Cerrahisi Klinii, Konya, Trkiye
3Konya Eitim Ve Aratrma Hastanesi Acil Tp Klinii, Konya, Trkiye

Mantar enfeksiyonlar tm plevral efzyonlarn %1'den daha azndan sorumludur. Nadiren ampiyeme neden olurlar. Aspegillusa bal ampiyem ve pnmotoraks gelien immnsupresif bir olguyu sunmay amaladk. Altm yanda kadn hastada ilerleyici bir nefes darl ve sa gs ars ikayetleri mevcuttu. Radyolojik incelenmesinde sa orta lobda pnmoni tespit edildi. Ampirik antibiyotik tedavisi baland. Balgam kltrnde aspergillus redi. Kontrol incelemesinde sa hidropnmotoraks tespit edilen hastaya interkostal drenaj yapld. Hasta, uzam hava kaa, mltilokle ampiyem ve akcierin ekspansiyon kusuru nedeniyle ameliyata alnd. Komple sa dekortikasyon yapld. Ameliyat sonras dnem sorunsuz geti ve hastann genel durumu dzeldi. Yirmi be gn sonra taburcu edilen hastaya ay boyunca azdan vorikonazol tedavisi verildi. Fungal enfeksiyonlarn tedavisi zor olabilmektedir. Klinik phe, erken antifungal tedavi, plevral drenaj ve plevrektomi gibi cerrahi mdahalelerle iyi sonular alnabilir.

Anahtar Kelimeler: Aspergillus, Ampiyem, Fungal Enfeksiyonlar

Pleural Aspergillosis: A Rare Presentation of Fungal Infection

Taha Tahir Beki1, Mustafa alk2, Suleyman Emre Akn2, Saniye Goknil alk3, Hdr Esme2
1Department Of Pulmonary Medicine, Konya Education And Research Hospital, Konya, Turkey.
2Department Of Thoracic Surgery, Konya Education And Research Hospital, Konya, Turkey.
3Department Of Emergency Medicine, Konya Education And Research Hospital, Konya, Turkey.

Fungal infections accounts for less than 1% of all pleural effusions and rare causes of empyema. Herein, we report an immunosuppressed case of aspergillus empyema thoracis with pneumothorax. A 63-year-old female presented with complaints of progressive shortness of breath and right-sided chest pain. Radiological examination revealed a pneumonic consolidation in the right middle lobe. Aspergillus was grown in the sputum culture. Repeated scans showed right hydropneumothorax which was treated with intercostal drainage. She underwent surgery due to persistent air leaks, multi-loculated empyema, and unexpanded lung. Total right pleurectomy (decortication) was performed. She was discharged after 25 days on oral voriconazole which was continued for three months. It can be challenging to treat fungal empyema. Clinical suspicion and early administration of anti-fungal agents with surgical interventions kind of pleural drainage or pleurectomy may be helpful in improving the outcome.

Keywords: Aspergillus, Empyema, Fungal Infections

Taha Tahir Beki, Mustafa alk, Suleyman Emre Akn, Saniye Goknil alk, Hdr Esme. Pleural Aspergillosis: A Rare Presentation of Fungal Infection. Respir Case Rep. 2016; 5(3): 181-183

Sorumlu Yazar: Mustafa alk, Trkiye
Makale Dili: ngilizce
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