Surgical Management of an Aspergillus Empyema in a 3-Year-Old Child

Aspergillus empyema in nonimmunocompromised children is rare. A case of surgical management of invasive aspergillosis in a previously healthy 3-year-old child is presented. The patient was initially admitted to a hospital with severe respiratory deterioration and clinical instability, originally att...

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Main Authors: Meletios A. Kanakis, Konstantinos Th. Petsios, Nicholas M. Giannopoulos, Dimitrios Bobos, Sofia Hatzianastasiou, Lida C. Sianidou, Achilleas Lioulias
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2020/5179292
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author Meletios A. Kanakis
Konstantinos Th. Petsios
Nicholas M. Giannopoulos
Dimitrios Bobos
Sofia Hatzianastasiou
Lida C. Sianidou
Achilleas Lioulias
author_facet Meletios A. Kanakis
Konstantinos Th. Petsios
Nicholas M. Giannopoulos
Dimitrios Bobos
Sofia Hatzianastasiou
Lida C. Sianidou
Achilleas Lioulias
author_sort Meletios A. Kanakis
collection DOAJ
description Aspergillus empyema in nonimmunocompromised children is rare. A case of surgical management of invasive aspergillosis in a previously healthy 3-year-old child is presented. The patient was initially admitted to a hospital with severe respiratory deterioration and clinical instability, originally attributed to sepsis. After surgical intervention and the diagnosis of invasive aspergillosis, intravenous therapy with voriconazole was initiated. During postoperative care, the patient’s condition remained stable with mild functional respiratory deficits. The diagnosis and treatment of Aspergillus empyema remains challenging, especially in cases that the recognition of aspergillosis is delayed and urgent surgical management of the empyema is required due to rapid clinical deterioration of the patient. The early initiation, prolonged administration, and close monitoring of high-dose antifungal treatment are highly recommended.
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institution Kabale University
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series Case Reports in Medicine
spelling doaj-art-280c7bff32fc42dca954c5ade77de7102025-02-03T05:51:45ZengWileyCase Reports in Medicine1687-96271687-96352020-01-01202010.1155/2020/51792925179292Surgical Management of an Aspergillus Empyema in a 3-Year-Old ChildMeletios A. Kanakis0Konstantinos Th. Petsios1Nicholas M. Giannopoulos2Dimitrios Bobos3Sofia Hatzianastasiou4Lida C. Sianidou5Achilleas Lioulias6Department of Pediatric and Congenital Heart Surgery, Onassis Cardiac Surgery Center, Athens, GreeceClinical Research Office, Onassis Cardiac Surgery Center, Athens, GreeceDepartment of Pediatric and Congenital Heart Surgery, Onassis Cardiac Surgery Center, Athens, GreeceDepartment of Pediatric and Congenital Heart Surgery, Onassis Cardiac Surgery Center, Athens, GreeceHellenic Center for Disease Control and Prevention, Athens, GreecePediatric Intensive Care Unit, “PaidonPentelis” Children’s Hospital, Athens, GreeceDepartment of Thoracic Surgery, Sismanoglio General Hospital of Athens, Athens, GreeceAspergillus empyema in nonimmunocompromised children is rare. A case of surgical management of invasive aspergillosis in a previously healthy 3-year-old child is presented. The patient was initially admitted to a hospital with severe respiratory deterioration and clinical instability, originally attributed to sepsis. After surgical intervention and the diagnosis of invasive aspergillosis, intravenous therapy with voriconazole was initiated. During postoperative care, the patient’s condition remained stable with mild functional respiratory deficits. The diagnosis and treatment of Aspergillus empyema remains challenging, especially in cases that the recognition of aspergillosis is delayed and urgent surgical management of the empyema is required due to rapid clinical deterioration of the patient. The early initiation, prolonged administration, and close monitoring of high-dose antifungal treatment are highly recommended.http://dx.doi.org/10.1155/2020/5179292
spellingShingle Meletios A. Kanakis
Konstantinos Th. Petsios
Nicholas M. Giannopoulos
Dimitrios Bobos
Sofia Hatzianastasiou
Lida C. Sianidou
Achilleas Lioulias
Surgical Management of an Aspergillus Empyema in a 3-Year-Old Child
Case Reports in Medicine
title Surgical Management of an Aspergillus Empyema in a 3-Year-Old Child
title_full Surgical Management of an Aspergillus Empyema in a 3-Year-Old Child
title_fullStr Surgical Management of an Aspergillus Empyema in a 3-Year-Old Child
title_full_unstemmed Surgical Management of an Aspergillus Empyema in a 3-Year-Old Child
title_short Surgical Management of an Aspergillus Empyema in a 3-Year-Old Child
title_sort surgical management of an aspergillus empyema in a 3 year old child
url http://dx.doi.org/10.1155/2020/5179292
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