External Beam Radiotherapy: A Treatment Option for Massive Haemoptysis Caused by Mycetoma

Falkson, Conrad; Sur, Ranjan; Pacella, Juan

doi:10.1053/clon.2002.0063

Cited by 29 publications

(24 citation statements)

References 9 publications

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“…In the treatment of mycetoma, antibiotic or antifungal like Fluconazole is used, whereas surgery is done in special cases [7]especially for eumycetoma lesions in the extremities [8]. In few selected cases external beam radiotherapy in doses ranging from 3.5-14 Gy has been considered successful [9].…”

Section: Discussionmentioning

confidence: 99%

Rare Case of Mycetoma Foot without any Discharging Sinuses: A Case Report

2016

IJSR

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Mycetoma is a type of a slowly progressive chronic subcutaneous infection caused by actinomycetes or true fungi. A local trauma like cut or splinter can cause the infection leading to a granulomatous reaction. Infection tracks through skin, facial planes and can sometimes involve the underlying bone. Most commonly the foot is involved but also hands, back or shoulders can be involved.A 43 year old male, with ankle and foot swelling, with no discharging sinuses was studied at our institute. Initially, provisional diagnosis of tuberculous osteomyelitis was made, which latter turned out be mycetoma.

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Section: Discussionmentioning

confidence: 99%

Rare Case of Mycetoma Foot without any Discharging Sinuses: A Case Report

2016

IJSR

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“…Fungus ball had been described predominantly as a consequence of preexisting tuberculosis cavities, but other diseases are also implicated as precursors of this entity although less often. Some of them are related to immunodepression 5 . A previous study comparing HIV-infected and HIV-negative individuals found pneumocystosis as a predisposing factor in HIV-infected individuals as a risk factor for fungus ball 1 .…”

Section: Discussionmentioning

confidence: 99%

Fungus ball in HIV-infected patients

Guazzelli

Unis

Xavier

et al. 2009

Rev. Inst. Med. trop. S. Paulo

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SUMMARYAspergillus is a phagocyte opportunistic fungus that causes aspergillosis, an unusual disease in patients with AIDS. Six cases of fungal ball in patients with AIDS are reported here. In this group, all patients had hemoptysis and tuberculosis as the underlying lung disease. The diagnosis of pulmonary fungus ball was based on the clinical and radiographic feature, combined with serological and mycological evidence of Aspergillus fumigatus.

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“…The use of radiotherapy in haemoptysis associated with aspergilloma has been previously described. 1,2 The mechanism of action remains unclear, although alterations in haemostasis within the microvasculature at both a functional and structural level have been suggested. 1 Haemoptysis improved rapidly in our patient following the first fraction of radiotherapy.…”

Section: Discussionmentioning

confidence: 99%

“…1,2 The mechanism of action remains unclear, although alterations in haemostasis within the microvasculature at both a functional and structural level have been suggested. 1 Haemoptysis improved rapidly in our patient following the first fraction of radiotherapy. Although it is impossible to exclude coincidence, the authors believe that this is the first description of its effective use for haemoptysis complicating aspergilloma in a patient with small vessel vasculitis.…”

Section: Discussionmentioning

confidence: 99%

“…He was treated with external beam radiotherapy, receiving 8 Gy in two fractions 10 days apart, doses similar to those previously described. 1 His haemoptysis settled after the first fraction. His subsequent recovery was complicated by left ilio-femoral deep vein thrombosis, which was managed using an inferior vena cava filter rather than anticoagulation in view of his recent life-threatening haemoptysis.…”

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confidence: 96%

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