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Domej, W; Hermann, J; Krause, R; Wehrschütz, M; Maier, A; Flögel, E.
Lung cavities, mycetomas and hemoptysis
Wien Med Wochenschr. 2007; 157(19-20): 466-472.
Doi: 10.1007/s10354-007-0460-4
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- Leading authors Med Uni Graz
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Domej Wolfgang
- Co-authors Med Uni Graz
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Hermann Josef
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Krause Robert
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Wehrschütz Martin
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- Abstract:
- Pulmonary mycetomas, or fungus balls, consist of spherical masses of mycelia and hyphae, fibrin and granulocytes that grow and partly fill cavitary lesions without invading tissue. They are usually caused by molds of the Aspergillus species, rarely by Mucor or yeast fungi such as Candida species, that colonize damaged lung tissue. Hemoptysis is the most frequent symptom. Since systemic and local administration of antifungal agents is of uncertain efficacy, resectional surgery should be the treatment of choice in cases of severe hemoptysis, if lung function is not severely compromised. As pulmonary resection in the form of lobectomy or pneumonectomy is associated with raised mortality, cavernostomy and cavernoplasty may be options for high-risk patients.
- Find related publications in this database (using NLM MeSH Indexing)
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Aspergillus -
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Candida -
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Diagnosis, Differential -
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Hemoptysis - etiology
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Humans - etiology
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Lung Diseases, Fungal - diagnosis
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Maduromycosis - diagnosis
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Mucor - diagnosis
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Pneumonectomy - diagnosis
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Tomography, X-Ray Computed - diagnosis