2008, Number 4
Rev Mex Cir Pediatr 2008; 15 (4)
Aspergilloma as an uncommon cause of pleural effusion in Pediatrics
Garcia-Maldonado S, Hernandez-Flota A, Vasquez-Contreras JA, Tolosa-Kuk M, Canche-Duran D, Rodriguez-Moguel LC
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Language: Spanish
References: 6
Page: 193-196
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ABSTRACT
Introduction: Aspergillosis occurs as a result of inhalation of the spores contained in the air. For the diagnosis of the disease is important to have clinical data to identify a history of any residual disease that causes cavities or bronchiectasis.Clinical Case Presentation: Men of five years beginning five days before admission with fever and vomiting unquantified food and giving amoxicillin loratadine without improvement, two days before admission is associated with productive cough in fits. Chest Rx was making a left pleural effusion was found.
Discussion: Pulmonary aspergilloma can be defined as a conglomeration of hyphae of Aspergillus, with mucus, fibrin and cellular debris in a lung cavity or bronchi, the most common symptom of hemoptysis is present in up to 50% to 80% of patients, however, in our patient the symptoms were cough and progressive dyspnea. Also reported in the literature as the unusual presence of fever, a symptom in our patient was detected in the primary. There is no consensus on medical treatment of aspergilloma, as there are different methods for this in the literature.
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