Lary A. Robinson, MDa, Elizabeth C

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Presentation transcript:

Pulmonary resection for invasive Aspergillus infections in immunocompromised patients Lary A. Robinson, MDa, Elizabeth C. Reed, MDb (by invitation), Timothy A. Galbraith, MDa (by invitation), Anselmo Alonso, MDa (by invitation), Anthony L. Moulton, MDa*, William H. Fleming, MDa The Journal of Thoracic and Cardiovascular Surgery Volume 109, Issue 6, Pages 1182-1197 (June 1995) DOI: 10.1016/S0022-5223(95)70202-4 Copyright © 1995 Mosby, Inc. Terms and Conditions

Fig. 1 Thin-section contrast-enhanced chest CT image from patient No. 9 at a level 1 cm inferior to the carina demonstrating a dense 1.5 cm diameter nodular mass in the right upper lobe of the lung with a surrounding “halo.” The Journal of Thoracic and Cardiovascular Surgery 1995 109, 1182-1197DOI: (10.1016/S0022-5223(95)70202-4) Copyright © 1995 Mosby, Inc. Terms and Conditions

Fig. 2 Contrast-enhanced chest CT image from patient No. 8 at the level of the carina showing a gas-containing 2.5 cm diameter cavitary density in the right upper lobe. There is an intracavitary mass and an “air crescent” sign. Other more caudad images (not shown) demonstrate a direct bronchial communication with the cavity and apparent extension of this mass across the major fissure into the superior segment of the right lower lobe (confirmed at operation). The Journal of Thoracic and Cardiovascular Surgery 1995 109, 1182-1197DOI: (10.1016/S0022-5223(95)70202-4) Copyright © 1995 Mosby, Inc. Terms and Conditions

Fig. 3 Photomicrograph from the surgical specimen from patient No. 12 with a Grocott methenamine silver stain of lung demonstrating prominent septate hyphae exhibiting dichotomous branching at 45 degrees (large arrow) and very early conidial head (sporulating structure) formation (small arrow). Fungal culture from this specimen grew A. flavus (original magnification × 400). The Journal of Thoracic and Cardiovascular Surgery 1995 109, 1182-1197DOI: (10.1016/S0022-5223(95)70202-4) Copyright © 1995 Mosby, Inc. Terms and Conditions