Gilbert P, Molle J P, Thiriaux J
Service de Pneumologie, Hôpital civil de Charleroi, Charleroi.
Rev Pneumol Clin. 1988;44(4):192-7.
Two recent cases of bilateral broncho-pulmonary aspergilloma offer the authors an opportunity to review the treatment of aspergilloma with injections of amphotericin B and Monaldi's intracavitary aspiration technique. In patients with very poor general condition and when surgical excision cannot be contemplated, this technique remains very useful, especially since treatments with intravenous or oral antifungal drugs are frequently ineffective. The indications, method and possible complications of the intracavitary aspiration technique are described. The literature concerning this treatment is reviewed.