Multiple bilateral pulmonary "fungus balls" in an immunocompetent patient unsuitable for surgical treatment: efficacy of azoles treatment.
Mycopathologia
; 175(3-4): 361-3, 2013 Apr.
Article
de En
| MEDLINE
| ID: mdl-23526375
ABSTRACT
Data guiding management of pulmonary mycetomas are based on uncontrolled trials and case reports. Surgical resection represents a definitive treatment associated with high mortality and sometimes not feasible due to clinical conditions. We report a case of an immunocompetent patient with multiple pulmonary mycetomas, suggestive for probable chronic aspergillosis, in which surgery was contraindicated. The patient experienced a good response to long-term oral voriconazole therapy with remarkable clinical and radiological improvement at three-month follow-up. In cases of probable chronic aspergillomas, when surgery is contraindicated, long-term antifungal therapy with voriconazole seems to be a valid alternative option.
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Pyrimidines
/
Triazoles
/
Aspergillose pulmonaire
/
Mycétome
/
Antifongiques
Type d'étude:
Diagnostic_studies
Limites:
Aged
/
Humans
/
Male
Langue:
En
Journal:
Mycopathologia
Année:
2013
Type de document:
Article
Pays d'affiliation:
Italie