Lee Hyun Woo, Kim Yeon Wook, Cho Jaeyoung, Lee Chang-Hoon
Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Seoul National University College of Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
BMJ Case Rep. 2014 Dec 1;2014:bcr2014206047. doi: 10.1136/bcr-2014-206047.
We present an extremely rare case of empyema necessitatis secondary to Aspergillus fumigatus infection. A 58-year-old woman presented to our hospital with a painful skin rash on the right thorax. Three fistulas communicating with the pleural space were found. Since she did not show a clinical improvement despite antituberculous and antibacterial treatment, we looked for other causes. Pleural fungus culture showed A. fumigatus and chest wall biopsy revealed numerous fungal hyphae. Treatment with necrotic tissue debridement and antifungal agents was successful.
我们报告一例极其罕见的由烟曲霉感染继发的胸壁积脓病例。一名58岁女性因右胸疼痛性皮疹就诊于我院。发现有三个与胸膜腔相通的瘘管。尽管给予了抗结核和抗菌治疗，但她的临床症状并未改善，因此我们寻找其他病因。胸膜真菌培养显示为烟曲霉，胸壁活检发现大量真菌菌丝。坏死组织清创术和抗真菌药物治疗取得了成功。
