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Chest, Vol 105, 1283-1285, Copyright © 1994 by American College of Chest Physicians


ARTICLES

Resection of chest wall and central veins for invasive cutaneous aspergillus infection in an immunocompromised patient

TM Buescher, DM Moritz and GW Killyon
Division of Plastic and Reconstructive Surgery, Brooke Army Medical Center, Fort Sam Houston, Tex.

Primary cutaneous invasive Aspergillus infection at a Hickman catheter site led to chest wall involvement and central venous suppurative thrombophlebitis in a patient with relapsed acute myelogenous leukemia. Therapy included high-dose amphotericin B, serial wound debridements pending bone marrow recovery, and definitive resection of the infected chest wall and thrombosed internal jugular, subclavian, and innominate veins. To our knowledge, this procedure for control of invasive fungal infection has not been reported previously.


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[Full Text]




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