Surgical aspects of pulmonary histoplasmosis: A series of 110 cases
AUTOR(ES)
Sutaria, M. K.
RESUMO
Histoplasmosis is of special interest to thoracic surgeons because it may appear in such a wide variety of clinical forms. Fourteen years' experience with 110 proved cases of surgically treated pulmonary histoplasmosis has been reviewed. Twenty-one of these patients manifested as `coinlesion' and underwent only wedge resection without amphotericin B therapy. A long-term follow-up of these patients indicates that these lesions are benign and need no additional therapy. Thirteen patients with pulmonary infiltration underwent surgery and three received post-operative amphotericin B therapy. Our largest group of surgically treated patients is of cavitary histoplasmosis. There were 76 patients in this group; 38 were managed with only surgical resection and the other 38 had surgical resection together with amphotericin B therapy. Operative indications, various forms of treatment, post-operative complications, and their results have been critically analysed. From this study we conclude that amphotericin B offers little protection against the immediate post-operative complications, but it reduces mortality and a recurrence of the disease, as judged from long-term follow-up.
ACESSO AO ARTIGO
http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=472117Documentos Relacionados
- A Report of 12 Selected Cases of Pulmonary Histoplasmosis
- The Technique of Surgical Correction of Anomalies of the Pulmonary Veins in a Series of 25 Cases
- Surgical aspects of pulmonary paragonimiasis
- Histoplasmosis: A review, and account of three patients diagnosed in Great Britain
- Chronic meningitis by histoplasmosis: report of a child with acute myeloid leukemia