Thoracoabdominal Resection of Mucormycosis Lesions in a Leukemic Patient

Ann Thorac Surg. 2018 Nov;106(5):e239-e241. doi: 10.1016/j.athoracsur.2018.04.066. Epub 2018 May 26.

Abstract

Mucormycosis is a rare fungal infection that poses a severe threat to immunocompromised patients. In the case presented herein, a 56-year-old leukemic patient, who was treated with amphotericin B and posaconazole, was scheduled for surgical resection of mucormycosis lesions that had spread to the thorax and abdomen. Surgery was aggressive and the resection involved the left lateral thoracoabdominal wall, 2 ribs, the left diaphragm, and the spleen. The patient tolerated the procedure well and the leukemia went into remission. Aggressive surgery can benefit immunocompromised patients with mucormycosis.

Publication types

  • Case Reports

MeSH terms

  • Follow-Up Studies
  • Humans
  • Immunocompromised Host*
  • Laparotomy / methods*
  • Leukemia, Myeloid, Acute / complications
  • Leukemia, Myeloid, Acute / diagnosis
  • Leukemia, Myeloid, Acute / drug therapy
  • Leukemia, Myeloid, Acute / immunology*
  • Lung Diseases, Fungal / diagnostic imaging
  • Lung Diseases, Fungal / surgery*
  • Male
  • Middle Aged
  • Mucormycosis / diagnostic imaging
  • Mucormycosis / surgery*
  • Rare Diseases
  • Risk Assessment
  • Severity of Illness Index
  • Thoracotomy / methods*
  • Tomography, X-Ray Computed / methods
  • Treatment Outcome