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Bilateral Three-Port Video-Assisted Thoracoscopic Thymectomy for Thymoma in Good's Syndrome With a History of Bacteremia.
Shibayama, Ryo; Fujimori, Sakashi; Suzuki, Souichirou; Ohtsuka, Reo; Karasaki, Takahiro.
Affiliation
  • Shibayama R; Gastrointestinal Surgery, Toranomon Hospital, Tokyo, JPN.
  • Fujimori S; Respiratory Surgery, Toranomon Hospital, Tokyo, JPN.
  • Suzuki S; Respiratory Surgery, Toranomon Hospital, Tokyo, JPN.
  • Ohtsuka R; Respiratory Surgery, Toranomon Hospital, Tokyo, JPN.
  • Karasaki T; Respiratory Surgery, Toranomon Hospital, Tokyo, JPN.
Cureus ; 16(8): e67380, 2024 Aug.
Article in En | MEDLINE | ID: mdl-39310629
ABSTRACT
A 62-year-old man presented with back pain, lower leg swelling, and fever and was referred to our hospital. Blood cultures identified Helicobacter fennelliae as the causative agent of bacteremia associated with pyogenic spondylitis and cellulitis. CT revealed a tumor in the upper anterior mediastinum, and blood tests showed low gamma globulin levels, raising the suspicion of Good's syndrome. Infection control was prioritized, and the patient received antibiotics for four weeks. After blood cultures returned negative, preoperative gamma globulin was administered to mitigate infection risk, and a total thymectomy was planned. A bilateral three-port thoracoscopic total thymectomy was performed, and the patient was observed as an outpatient without any postoperative infection recurrence. We present a case of Good's syndrome with a high infection risk, successfully managed with a minimally invasive bilateral three-port thoracoscopic total thymectomy and effective perioperative infection control.
Key words

Full text: 1 Collection: 01-internacional Database: MEDLINE Language: En Journal: Cureus Year: 2024 Document type: Article Country of publication:

Full text: 1 Collection: 01-internacional Database: MEDLINE Language: En Journal: Cureus Year: 2024 Document type: Article Country of publication: