Fungal colonization of a pneumonectomy stump

Thomas A Dillard, Karan Julka, Jonathan Y. Chen, Albert S. Chang

Research output: Contribution to journalArticle

Abstract

A 59-year-old woman developed mild recurring hemoptysis once a week for several months after a fall with trauma to the chest. Sixteen years earlier she had undergone a right pneumonectomy at a hospital elsewhere for sequelae of pulmonary tuberculosis. Bronchoscopy, performed because of the recent hemoptysis, showed material in the pneumonectomy stump. The material had a gelatinous appearance, green color with a pale margin, and oblique striations. The material was removed by grasping with forceps and withdrawing the bronchoscope. Grocott methanamine silver stain was positive for septate, nonpigmented fungal organisms. Anatomic pathology microscopy also showed mucous, acute inflammatory cells, and necrotic tissue. Cytopathology of washings from the bronchial stump showed rare degenerated benign bronchial epithelial cells and fungal hyphae. Acid fast bacilli smears and cultures were negative. Bacterial cultures showed 3+ Pseudomonas aeruginosa. The patient had no further hemoptysis.

Original languageEnglish (US)
Pages (from-to)334-335
Number of pages2
JournalJournal of Bronchology and Interventional Pulmonology
Volume17
Issue number4
DOIs
StatePublished - Oct 1 2010

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Keywords

  • Aspergilloma
  • Aspergillus
  • Biofilm
  • Bronchoscopy
  • Colonization
  • Hemoptysis
  • Mycetoma
  • Pneumonectomy
  • Pseudomonas
  • Stitch
  • Stump
  • Suture

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

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