Pulmonary sequestration and aspergillosis

Berna, Pascal; Lebied, El Djoulene; Assouad, Jalal; Foucault, Christophe; Danel, Claire; Riquet, Marc

doi:10.1016/j.ejcts.2004.10.007

Cited by 28 publications

(15 citation statements)

References 8 publications

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“…Nevertheless the cases of asymptomatic, incidentally revealed ILS are controvertial-most authors suggest an early surgery due to possible infectious complications and occult ongoing fungal infection (7,8). This standpoint is in accordance with our results showing lower rate of complications and a trend towards shorter post-surgical hospital stay.…”

Section: A B C Discussionsupporting

confidence: 81%

“…Our own and existing data report Aspergillus sp. to be the most common A B infectious factor to be determined in PS patient; most of patients do not meet the criteria of invasive aspergillosis and have no indication for systemic treatment (4,7,8), the diagnosis of aspergillosis is rather based on pathological stains than microbiological cultures (4). We would suggest to take Aspergillus sp.…”

Section: A B C Discussionmentioning

confidence: 99%

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Clinical presentation and characteristics of 25 adult cases of pulmonary sequestration

Polaczek¹,

Barańska²,

Szołkowska³

et al. 2017

J. Thorac. Dis.

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Results: We found 25 cases (18 females, 7 males), which underwent surgery and were histologically proven.There were 22 cases of intralobar PS. 7 cases were asymptomatic, 12 had infectious history (including 3 cases of lung abscess and pleural empyema), 4 presented with hemoptysis, 2 with chest pain. The average age to undergo surgery was 38.24, in the asymptomatic group 34, in symptomatic 39.89. In the latter the symptoms preceded the surgery for 2.45-year. Great majority of sequestrations was located in lower lobes (96%), 52% on the left. Symptomatic cases were at higher than expected risk of surgical complications, comparing to asymptomatic (chi 2 , P=0.04). In most cases there were surgical and histological signs of infection, only in 9 cases etiological factor was determined: in 5 cases it was A. fumigatus. A 0.53-day longer post-surgical hospital stay was observed in the symptomatic group, no statistical significance was found (U-test, P=0.45).Conclusions: Surgical treatment of symptomatic cases of PS is characterized by slightly longer post-surgical hospital stay and higher risk of surgical complications. Fungal infections are the most likely to occur in PS.

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Section: A B C Discussionsupporting

confidence: 81%

Section: A B C Discussionmentioning

confidence: 99%

Clinical presentation and characteristics of 25 adult cases of pulmonary sequestration

Polaczek¹,

Barańska²,

Szołkowska³

et al. 2017

J. Thorac. Dis.

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show abstract

“…19Y21 A recent study has reported the presence of aspergillosis in 4 of 6 patients operated in the last decade in their institute. 21 Four patients in our series presented with the symptoms of infection; however the cultures were sterile probably because of the patients having been started on antibiotics before referral to our institute.…”

Section: Discussionmentioning

confidence: 90%

Multidetector CT Angiography in Pulmonary Sequestration

Kang¹,

Khandelwal²,

Ojili³

et al. 2006

Journal of Computer Assisted Tomography

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“…10 Aspergillus fungal organisms have been reported in intralobar sequestrations in the past with 38 reported in the literature. [11][12][13][14][15][16][17][18][19][20][21] Considering that the patient had a history of lung infections, it is possible that the Aspergillus organisms represent a superimposed infection in this case. The fact that fungal organisms have been reported in these prior cases suggests a connection to the tracheobronchial tree and possibly an acquired etiology.…”

Section: Discussionmentioning

confidence: 99%