2021 Volume 35 Issue 6 Pages 659-664
Mucormycosis tends to develop in patients with underlying diseases, as an opportunistic disease. Pulmonary mucormycosis rarely shows bone invasion. Herein, we report a case of pulmonary mucormycosis with chest wall invasion that was successfully treated with lung resection and chest wall removal. A 66-year-old female, who had received chemotherapy for acute myeloid leukemia, complained of chest pain. Chest CT showed left upper lobe pneumonia. The diagnosis could not be confirmed even with various inspections including several cultures. As she was a compromised host, invasive pulmonary aspergilloma was suspected, and she was treated with amphotericin B. However, pneumonia progressed to a 90 mm lung abscess and showed bone invasion. Hence, surgical treatment was considered, and we performed left lung upper segmentectomy and chest wall resection with posterior parts of 3rd-5th ribs. The histopathological diagnosis of pulmonary mucormycosis was confirmed. The postoperative course was good, and chemotherapy for acute myeloid leukemia was restarted with no recurrence of pulmonary mucormycosis. Complete resection was achieved with extensive chest wall resection. In addition, early restart of chemotherapy was possible due to a preserved respiratory function and less extensive lung resection by segmentectomy.
