Abstract
Adiaspiromycosis is a rare zoonosis, caused by the fungus Chrysospolium parvum spp. (or Emmonsia crescens), which usually lives in the soil. Despite its ubiquitous occurence in rodents and small wild mammals throughout the world, the disease rarely affects the human lung, and has never invaded the open negative cavity. Therefore, the present case seems to be the first reported one in the world. The patient was a 60-year-old male with a past history of pulmonary tuberculosis, accompanied by severe adhesion of the right pleura and such complications as diabetes mellitus and hypertension. The chest X-ray film and the CT scan revealed an open negative cavity with a fungus ball at the right apex of the lung, which was compatible with pulmonary aspergilloma, so that the lesion was believed to be aspergillosis, which was clarified as adiaspiromycosis after the culture of the extirpated fungus.
“Thoracic wall plombage”, a kind of cavernoplasty with minimal thoracoplasty was carried out for this patient to save bleeding and to prevent operative morbidity and mortality.
The patient has been doing well for two years and a half after the operation, so the combined space reducing procedure for abnormal air space of the lung, such as open negative cavity and bronchogenic cyst seems to be a good alternative to pulmonary resection.
