Video‐assisted thoracic surgery for a case of chronic progressive pulmonary aspergillosis undergoing haemodialysis complicated by anorexia nervosa: a case report. Issue 4 (22nd February 2021)

• Record Type: Journal Article
• Authors: Shirahata, Toru; Akimoto, Maho; Minegishi, Kentaro; Endo, Shunsuke; Nakamura, Hidetoshi; Nagata, Makoto
• Is Part Of: Respirology case reports. Volume 9:Issue 4(2021)
• Page Start: n/a
• Page End: n/a
• Publication Date: 2021-02-22
• Subjects: anorexia nervosa -- chronic kidney disease -- chronic progressive pulmonary aspergillosis -- video‐assisted thoracic surgery; Respiratory organs -- Diseases -- Periodicals; 616.2005
• DOI: 10.1002/rcr2.727
• Languages: English
• ISSNs: 2051-3380

Abstract

Abstract: We describe the case of a 37‐year‐old female with chronic progressive pulmonary aspergillosis (CPPA) with anorexia nervosa (AN) while undergoing haemodialysis for renal failure, who had video‐assisted thoracic surgery (VATS) due to recurrent haemoptysis. She was referred to the Department of Respiratory Medicine for evaluation of an abnormal chest shadow. She was diagnosed with CPPA by serological examinations, radiological features, and bacterial culture. She was initially treated with oral antifungal therapy and transcatheter embolization. VATS lobectomy was eventually performed despite the AN and haemodialysis because of poorly controlled haemoptysis. The postoperative course was uneventful, and the final histopathological examination confirmed CPPA. Abstract : In this report, we present a rare case of a Japanese woman with anorexia nervosa who developed pulmonary aspergillosis, and describe the clinical and pathophysiological characteristics of pulmonary aspergillosis in the patient. We also made comparisons with previous reports.