PT  - JOURNAL ARTICLE
AU  - C C Kibbler
AU  - S R Milkins
AU  - A Bhamra
AU  - M A Spiteri
AU  - P Noone
AU  - H G Prentice
TI  - Apparent pulmonary mycetoma following invasive aspergillosis in neutropenic patients.
AID  - 10.1136/thx.43.2.108
DP  - 1988 Feb 01
TA  - Thorax
PG  - 108--112
VI  - 43
IP  - 2
4099  - http://thorax.bmj.com/content/43/2/108.short
4100  - http://thorax.bmj.com/content/43/2/108.full
SO  - Thorax1988 Feb 01; 43
AB  - After the death from massive haemoptysis of two neutropenic patients who had developed apparent pulmonary mycetomas, two subsequent patients underwent successful resection of similar lesions. Histological examination of these lesions confirmed that these so called mycetomas were masses of devitalized lung tissue infiltrated with fungus. The term mycotic lung sequestrum is therefore proposed to distinguish this condition from a fungus ball arising in a previously formed cavity. A review of 34 similar cases reported previously showed that haemoptysis occurred in about half of the cases and was fatal in just over half of these. Medical treatment appears to have little impact on survival and early consideration of surgical intervention is important.