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Ann Thorac Surg 1990;49:991-992
© 1990 The Society of Thoracic Surgeons

Articles

Operative treatment of Fusarium fungal infection of the lung

Flavian M. Lupinetti, MD*, Roger H. Giller, MD, Michael E. Trigg, MD

Division of Cardiothoracic Surgery, Department of Surgery, and Department of Pediatrics, Pediatric Bone Marrow Transplant Program, University of Iowa Hospitals and Clinics, Iowa City, Iowa USA

Accepted for publication October 23, 1989.

* Address reprint requests to Dr Luptnetti, Division of Cardiothoracic Surgery, University of Iowa Hospital, Iowa City, IA 52242.

Systemic fungal infections with Fusarium occur predominantly in immunocompromised patients and are usually fatal. We report a patient with acute lymphocytic leukemia and fusariosis involving the skin and lungs. This patient underwent antifungal chemotherapy and bilateral pulmonary resections. She subsequently had successful bone marrow transplantation. The results of this treatment suggest that this aggressive management of pulmonary fusariosis offers the best chance of survival.




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