Evidence map›Paper›PMID 41676184›Full record

ArticleAME case reports2026

Pulmonary aspergillosis diagnosed during surgical treatment for spontaneous pneumothorax: a case report.

Masanori Okada, Riki Okita, Hidetoshi Inokawa

Abstract readCase Reports
In one paragraph

Article in AME case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Masanori OkadaDivision of Thoracic Surgery, National Hospital Organization Yamaguchi Ube Medical Center, Ube, Yamaguchi, Japan.ORCID https://orcid.org/0009-0000-3984-4292
Riki OkitaDivision of Thoracic Surgery, National Hospital Organization Yamaguchi Ube Medical Center, Ube, Yamaguchi, Japan.
Hidetoshi InokawaDivision of Thoracic Surgery, National Hospital Organization Yamaguchi Ube Medical Center, Ube, Yamaguchi, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Chronic pulmonary aspergillosis (CPA) is often asymptomatic; however, respiratory symptoms may trigger detection of the disease. Some asymptomatic patients are diagnosed as having CPA after closer examination of abnormalities on chest computed tomography (CT). We report a rare case in which CPA was diagnosed after surgery for spontaneous pneumothorax. Case Description: An 86-year-old man with old pulmonary tuberculosis and autoimmune hepatitis on oral prednisolone treatment developed a right-sided pneumothorax with persistent air leak and worsening subcutaneous emphysema. Despite thoracic drainage, his condition deteriorated. Chest CT showed numerous cysts and cavities with a small nodule in the right lung and interstitial changes bilaterally, although the precise site of the air leak was unclear. Thoracoscopy revealed adhesions, exudative pleural effusion, and a fibrinous exudate consistent with acute empyema. A 10-mm grayish necrotic mass was found to be adherent to the right upper lobe and to obstruct a 5-mm fistula. To avoid spillage, this material was removed en bloc, and thorough debridement and irrigation were performed. Suspecting fungal infection, we performed a wide wedge resection including the fistula site. Although intraoperative pleural fluid cultures were negative, Conclusions: In pneumothorax patients with cystic changes in the lungs arising from old healed pulmonary tuberculosis, the potential presence of CPA should also be considered. Even with exposure of fungal colonies in the thoracic cavity during pneumothorax surgery, appropriate intraoperative and postoperative measures could allow even elderly steroid-treated patients to recover completely without recurrence of CPA.

Indexed as

aspergilluscase reportimmunosuppressionpneumothoraxPulmonary aspergillosis

Identifiers

PMID41676184
PMCPMC12885769

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.