Emergency and elective pulmonary surgical resection in haematological patients with invasive fungal infections: a report of 50 cases in a single centre

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Presentation transcript:

Emergency and elective pulmonary surgical resection in haematological patients with invasive fungal infections: a report of 50 cases in a single centre M.-L. Chretien, C. Legouge, P.-B. Pagès, I. Lafon, E. Ferrant, A. Plocque, C. Favennec, L. Estivalet, E. Bottolier-Lemallaz, F. Dalle, J.-N. Bastie, A. Bernard, D. Caillot Clinical Microbiology and Infection Volume 22, Issue 9, Pages 782-787 (September 2016) DOI: 10.1016/j.cmi.2015.12.029 Copyright © 2016 European Society of Clinical Microbiology and Infectious Diseases Terms and Conditions

Fig. 1 Pulmonary mucormycosis occurred in a 32-year-old patient after induction chemotherapy for acute myeloblastic leukaemia. Enhanced CT scan showed involvement of divided branches of right pulmonary artery by the fungal process. In August 2012, a right upper lobectomy was performed in emergency to prevent the risk of arterial perforation and haemoptysis. Three years later patient is alive and well. Clinical Microbiology and Infection 2016 22, 782-787DOI: (10.1016/j.cmi.2015.12.029) Copyright © 2016 European Society of Clinical Microbiology and Infectious Diseases Terms and Conditions

Fig. 2 Overall survival was not statistically different between patients who underwent emergency or elective surgery. Clinical Microbiology and Infection 2016 22, 782-787DOI: (10.1016/j.cmi.2015.12.029) Copyright © 2016 European Society of Clinical Microbiology and Infectious Diseases Terms and Conditions

Fig. 3 Median overall survival in patients on first-line haematological treatment was better than that in patients in subsequent line or with progressive haematological disease (45 months versus 5 months, respectively) (p <0.001). Clinical Microbiology and Infection 2016 22, 782-787DOI: (10.1016/j.cmi.2015.12.029) Copyright © 2016 European Society of Clinical Microbiology and Infectious Diseases Terms and Conditions