Pleural aspergillosis complicated by recurrent pneumothorax: a case report

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• 作者：Weihua Zhang (1)
  Ye Hu (1)
  Liang'an Chen (1)
  Jie Gao (2)
  Lixin Xie (1)
  
• 刊名：Journal of Medical Case Reports
• 出版年：2010
• 出版时间：December 2010
• 年：2010
• 卷：4
• 期：1
• 全文大小：1160KB
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• 作者单位：Weihua Zhang (1)
  Ye Hu (1)
  Liang'an Chen (1)
  Jie Gao (2)
  Lixin Xie (1)
  
  1. Department of Respiratory Medicine, Chinese PLA General Hospital, 28th Fuxing Road, 100853, Beijing, China
  2. Department of Pathology, Chinese PLA General Hospital, 100853, Beijing, China
  

文摘

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.