Video‐assisted thoracic surgery for a case of chronic progressive pulmonary aspergillosis undergoing haemodialysis complicated by anorexia nervosa: a case report

• Main Authors: Toru Shirahata, Maho Akimoto, Kentaro Minegishi, Shunsuke Endo, Hidetoshi Nakamura, Makoto Nagata
• Format: Article
• Language: English
• Published: Wiley 2021-04-01
• Series: Respirology Case Reports
• Subjects: anorexia nervosa; chronic kidney disease; chronic progressive pulmonary aspergillosis; video‐assisted thoracic surgery
• Online Access: https://doi.org/10.1002/rcr2.727

Abstract We describe the case of a 37‐year‐old female with chronic progressive pulmonary aspergillosis (CPPA) with anorexia nervosa (AN) while undergoing haemodialysis for renal failure, who had video‐assisted thoracic surgery (VATS) due to recurrent haemoptysis. She was referred to the Department of Respiratory Medicine for evaluation of an abnormal chest shadow. She was diagnosed with CPPA by serological examinations, radiological features, and bacterial culture. She was initially treated with oral antifungal therapy and transcatheter embolization. VATS lobectomy was eventually performed despite the AN and haemodialysis because of poorly controlled haemoptysis. The postoperative course was uneventful, and the final histopathological examination confirmed CPPA.