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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Language: | English |
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Wiley
2020-01-01
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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. |
format | Article |
id | doaj-art-280c7bff32fc42dca954c5ade77de710 |
institution | Kabale University |
issn | 1687-9627 1687-9635 |
language | English |
publishDate | 2020-01-01 |
publisher | Wiley |
record_format | Article |
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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