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Se presentan 17 casos de aspergiloma pulmonar intra-cavitario, 11 de los cuales fueron intervenidos quirúrgicamente. Se comentan los medios diagnósticos .con que contamos en la actualidad, así como la incidencia de complicaciones quirúrgicas. Ante las distintas actitudes terapéuticas descritas en la bibliografía, aportamos lo que consideramos una amplia serie de aspergilomas pulmonares; cuya sintomatología en algunos casos de grave hemoptisis nos lleva a exponer nuestras propias conclusiones ante el tratamiento quirúrgico.
17 cases of pulmonary intracavitary aspergilloma, 11 of which were surgically treated, are reported. Currently available diagnostic methods and incidence of surgical complications are commented. We report, in view of the difierent management attitudes described in the literatu-re, what we consider as a large series of pulmonary asper-gillomas. Their symptoms, in cases with severe hemopty-sis, have led us to state our own conclusions about surgical treatment.
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Bibliografia
[1.]
J. Crofton, A. Douglas.
Micosis pulmonar.
en Enferme dades respiratorias, Ed. Marín, (1971), pp. 261-275
[2.]
F. Deve.
Une nouvelle forme anatomo-radiologique de mycose primitive: le mégacycétome intrabronquiectasique.
Aren Med Chir Apar Resp, 13 (1938), pp. 337-361
[3.]
O. Monod, G. Pesle, G. Secretain.
Les aspergillomes bronchiectasiantes.
Presse Med, 59 (1951), pp. 1557-1559
[4.]
J. Pepys, R. Riddel, K. Citron, Y.M. Clayton, E. Short.
Clinical and inmunologic significance of Aspergillus fumigatus in the sputum.
Am Rev Respir Dis, 80 (1959), pp. 167-180
[5.]
Research Committee of the Britsh Thoracic And Tuber culosis Association: aspergilloma and residual tuberculous cavities: the results of a resurvey.
Tubercle, 51 (1970), pp. 227-245
[6.]
B. Felson.
Chest Roentgenology.
Ed. Saunders, (1973), pp. 328-492
[7.]
R.G. Fraser, J.A.P. Pare.
Diagnóstico de las enfermedades del tórax.
Salvat Ed, (1973), pp. 549-685
[8.]
F. Manresa Presas, G. Manresa Formosa, G. Vidal, J. Pa res.
Aspergiloma y secuestro pulmonar.
Rev Quir Esp, 5 (1978), pp. 355-358
[9.]
R. Vidal, J.M. Torres, M. Vizcaya, J. Martínez, J. Valero, F. Arteaga, J.J. Such.
Incidencia de la aspergilosis respiratoria en enfermos broncopulmonares crónicos.
Rev Clin Esp, 149 (1978), pp. 165-169
[10.]
F. Paris, M. Casillas, V. Tarazona, E. Blasco, A. Canto, V. Barroso.
Aspergilomas pulmonares Consideraciones sobre cuatro casos.
Med Esp, (1971), pp. 44-65
[11.]
D.B. Louria, P.H. Lieberman, H.S. Collins, A. Blevins.
Pulmonary mycetoma due to Allescheria boydii.
Arch Intern Med, 117 (1966), pp. 748-751
[12.]
M.J. Campbell, Y.M. Clayton.
Bronchopulmonary aspergillosis.
Am Rev Respir Dis, 89 (1964), pp. 186-196
[13.]
F.G. Villar, J. Cortez Pimentel, R. Avila.
Some aspects of pulmonary aspergilloma in Portugal.
Dis Chest, 51 (1967), pp. 402-405
[14.]
C. Voisin, A. Tounel, M. Jacob, P. Grigne, P. Laffite.
L’aspergillose bronchique.
Rev Franç Mal Resp, 2 (1974), pp. 305-318
[15.]
C.H. Helnon, C.H. Gallovede, R. Vannier, G. Aloun, H. Brosard.
L’arteriographie bronchique dans les aspergillomas.
Rev Tub Pneum, 35 (1971), pp. 681-694
[16.]
J.E. Walter, E.D. Jones.
Serologic test in diagnosis of aspergillosis.
Dis Chest, 53 (1968), pp. 729-735
[17.]
G. Segretain.
Diagnostic de laboratoire en mycologie medicale.
3.a ed, Ed. Maloine, (1974),
[18.]
J.K. Hammerman, C.S. Cristianson, I. Huntington, G.A. Hurst, M. Zelman, F.E. Tosh.
Spontaneus lysis of aspergillomata.
Chest, 64 (1973), pp. 597-599
[19.]
H.T. Adelson, J. Malcoilm.
Endocavitary treatment of pulmonary micetomas.
Am Rev Respir Dis, 98 (1968), pp. 87-92
[20.]
K.J. Hammerman, G.A. Sarosi, F.E. Tosh.
Anphotericin B in the treatmeent of saprophytic forms of pulmonary aspergillosis.
Am Rev Respir Dis, 109 (1974), pp. 57-62
[21.]
A. Karas, J.R. Hankins, S. Attar, et al.
Pulmonary aspergillosis: an analysis of 41 patients.
Ann Thorac Surg, 22 (1976), pp. 1-7
[22.]
B. Varkey, H.D. Rose.
Aspergiloma pulmonar: Un enfo que racional del tratamiento.
Am J Med, 4 (1976), pp. 479-484
[23.]
S.B. Saab, C. Almond.
Surgical aspects of pulmonary aspergillosis.
J Thorae Cardiovasc Surg, 68 (1974), pp. 455-460
[24.]
A.H. Henderson, M.P. English, R.J. Vecht.
Pulmonary aspergillosis.
Thorax, 23 (1968), pp. 513-517
[25.]
J. Garvey, P.H. Grastnopol, D. Weisz, F. Khan.
The surgi cal treatment of pulmonary aspergillomas.
J Thorac Cardiovasc Surg, 74 (1977), pp. 542-547
[26.]
H. Le Brigand, G.D. Pesle, Saadeb.
Problemes chirurgicaux de 1’aspergillome bronchopulmonaire. A propós d’une enquete.
Presse Med, 50 (1961), pp. 261-263
[27.]
E.T. Orie, C.A. De Vriess, A. Kirostra.
Growth of asper gillus in the human lung.
Am Rev Respir Dis, 82 (1960), pp. 649-662
[28.]
J.R. Ramírez.
Pulmonary aspergillomas: endobronchial treatment.
N Engl J Med, 271 (1964), pp. 1281-1285
[29.]
A.H. Henderson, J.E.G. Pearson.
Treatment of broncho pulmonary aspergilosis with observations on the use of natamycin.
Thorax, 23 (1968), pp. 518-523
[30.]
P.A. Aslam, J. Larkin, C. Eastidge, F. Hugues.
Endocavi tary infusion through percutanous endobronquial catheter.
Chest, 57 (1970), pp. 94-96
[31.]
J.L. Hargis, R.C. Bone, J. Stewart, N. Rector, F.C.H. Hiller.
Anfotericina intracavitaria en el tratamiento de los aspergilo mas pulmonares sintomáticos.
Am J Med:, 11 (1980), pp. 193-198
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