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  • Title: Use of video-assisted thoracoscopy surgery for the treatment of Aspergillus empyema with bronchopleural fistula.
    Author: Feng Q, Ma L, Gabrielle G, Yu GW.
    Journal: Thorac Cardiovasc Surg; 2008 Sep; 56(6):370-2. PubMed ID: 18704863.
    Abstract:
    Pulmonary aspergillus empyema with bronchopleural fistula is a rare and severe disease with a poor prognosis. In this report, we describe the successful surgical treatment of this condition in a 34-year-old man who was initially hospitalized due to complications of chronic hepatitis B. While under artificial liver therapy and as a consequence of long-term corticosteroid use, the patient developed invasive pulmonary aspergillosis, which was further complicated by an empyema and a bronchopleural fistula.Video-assisted thoracoscopy surgery was performed following failure of the prescribed antifungal treatment and chest tube drainage, and the empyema resolved completely 3 months postoperatively,with no evidence of recurrence after 5 months' follow-up.
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