Clinical Image
Aspergillus Fumigatus Fungus Ball in the Transplanted Lung after Single Lung Transplantation: Treatment with Cavernostomy and Withdrawal of the Mycetoma
Necati Çitak1*, Özgür İşgörücü1, Yunus Aksoy1, Songül Büyükkale2 and Adnan Sayar2
1Department of Thoracic Surgery and Lung Transplantation, Bakırköy Dr. Sadi Konuk Education and Research
Hospital, Turkey
2Şişli Memorial Hospital, Turkey
*Corresponding author: Necati Citak, Department of Thoracic Surgery and Lung Transplantation, Bakırköy Dr. Sadi Konuk Education and Research Hospital, İstanbul, Turkey
Published: 20 Dec, 2017
Cite this article as: Çitak N, İşgörücü Ö, Aksoy Y,
Büyükkale S, Sayar A. Aspergillus
Fumigatus Fungus Ball in the
Transplanted Lung after Single Lung
Transplantation: Treatment with
Cavernostomy and Withdrawal of the
Mycetoma. Clin Surg. 2017; 2: 1837.
Keywords
Pulmonary aspergilloma; Transplantation, Cavernostomy
Clinical Image
A 52-year-old man underwent left-lung transplantation due to pulmonary emphysema. Six months later, chest X-ray and computed tomography revealed a fungus ball in the transplantedlung (Figure 1). We performed cavernostomy and withdrawal of the mycetoma (Figure 2). The cavity washed with amphotericin B for a week. There was no recurrence twelve weeks later.
Figure 1
Figure 1
(A) A fungus ball in the transplanted lung, (B) Computed tomography section, (C) Cavitary lung lesion
in the transplanted lung filled with an opacity resembling a fungus ball.