When is surgery indicated for fungal pneumonia?

Updated: Jun 21, 2019
  • Author: Romeo A Mandanas, MD, FACP; Chief Editor: Guy W Soo Hoo, MD, MPH  more...
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Answer

Answer

Surgery may be indicated in invasive aspergillosis. [48]  Surgery is indicated in patients with documented invasive aspergillosis who have been treated with antifungal agents but who have residual lesions. The surgery is performed to prevent disease relapse when additional immunosuppression is required. Surgery is also indicated as a means to prevent or treat massive bleeding, especially when the lung lesion is contiguous with a large blood vessel.

In cavitary pulmonary sporotrichosis, surgical management should be considered in the course of the disease, even for bilateral presentation, providing that the patient has adequate predicted respiratory reserves post-surgery, as delayed surgery may result in complications and poorer outcomes. [16]


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