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J Thorac Cardiovasc Surg 2005;129:1459-1460
© 2005 The American Association for Thoracic Surgery

Brief Communication

A case of pulmonary sequestration with Aspergillus species infection presenting as an enlarged right paratracheal mass

S. Lohani, MD, MRCPa,*, R. Varma, MD, MRCPb, B. Leahy, FRCPb

a Wythenshawe Hospital, Manchester, United Kingdom.
b Trafford General Hospital, Manchester, United Kingdom.

Received for publication October 15, 2004; accepted for publication November 17, 2004.

* Address for reprints: S. Lohani, MD, Webb House, Stott Lane, Salford, United Kingdom M6 8WH (Email: sdlohani@aol.com).

The first 20% of the full text of this article appears below.

We present the case of a 45-year-old man who was incidentally found to have enlarged right paratracheal opacity on a chest radiograph and computed tomographic (CT) scan. Biopsy revealed invasive Aspergillus species infection. Ultimately, a thoracotomy was carried out because the abnormality persisted despite antifungal treatment, and it was found to be a sequestered lung segment.

Clinical Summary

A 45-year-old white man presented to his general practitioner with a few weeks’ history of cough with green sputum and an episode of hemoptysis. A chest radiograph showed features of right paratracheal enlargement, and he was subsequently referred to the Chest Diseases unit at Trafford General Hospital.

While attending the clinic, he had recovered from his "lower respiratory tract infection" and was asymptomatic. He had never smoked in his life. Apart from a history of gout, he had previously . . . [Full Text of this Article]






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Copyright © 2005 by The American Association for Thoracic Surgery.