Multiple Bilateral Pulmonary "Fungus Balls" in an Immunocompetent Patient Unsuitable for Surgical Treatment: Efficacy of Azoles Treatment

A. Capone, S. Di Bella, P. Chinello, D. Chiappetta, C. Campoli, N. Petrosillo

Research output: Contribution to journalArticlepeer-review

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.

Original languageEnglish
Pages (from-to)361-363
Number of pages3
JournalMycopathologia
Volume175
Issue number3-4
DOIs
Publication statusPublished - 2013

Keywords

  • Aspergilloma
  • Aspergillomas
  • Aspergillus
  • Mycetoma
  • Pulmonary
  • Voriconazole

ASJC Scopus subject areas

  • Plant Science
  • Agronomy and Crop Science
  • Applied Microbiology and Biotechnology
  • Microbiology
  • veterinary (miscalleneous)

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