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Chest, Vol 87, 356-358, Copyright © 1985 by American College of Chest Physicians

ARTICLES

Ten-year experience with mycetomas in patients with pulmonary tuberculosis

RO Butz, JR Zvetina and BJ Leininger

We studied 33 consecutive patients with tuberculous pulmonary cavities complicated by fungus balls to evaluate their treatment. Nineteen had surgical resection for massive or recurrent bleeding or possibility of tumor. One patient died of postpneumonectomy empyema (30-day surgical mortality, 5 percent). Fourteen had no surgery. No patient died of hemoptysis. Respiratory failure contributed most often to death. Hepatic complications and other problems of alcoholism were also prominent. Good results can be obtained by resection in these severely ill patients if care is taken to preserve functioning pulmonary tissue and to avoid complications of alcoholic hepatic disease. Within these constraints, tuberculous cavities complicated by mycetomas should be resected for massive or recurrent hemoptysis.


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[Abstract] [Full Text] [PDF]


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Copyright © 1985 by the American College of Chest Physicians.