ArticleAnnals of medicine2026
Investigating the efficacy and safety of bronchoscopic removal of aspergilloma in PTB-CCPA.
Article in Annals of medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundGiven high symptom recurrence rates after discontinuation of antifungal therapy (AF), a comparison was made between AF alone and in combination with bronchoscopic aspergilloma removal (BRA) for treating post-tuberculosis chronic cavitary pulmonary aspergillosis (PTB-CCPA) patients, focusing on fungal ball clearance rate, relapse rate, and relapse risk factors.
methodsThis retrospective cohort study was conducted at Guangzhou Chest Hospital, China, from January 2014 to December 2021, with follow-up through October 2023. Patients with PTB-CCPA who met diagnostic criteria (cavitary tuberculosis history, CT-confirmed fungal balls, and microbiological/serological
resultsThe enrolled patients were divided into two groups: the control group (32 patients, 36.4%) received only AF, and the treatment group (56 patients, 63.6%) received a combination of AF and BRA (AF+BRA). The aspergilloma clearance rate in the cavity was 14.8% in the AF group and 100% in the AF+BRA group (
conclusionsAF+BRA can eliminate Aspergillus fungal balls, may cure PTB-CCPA, shorten antifungal treatment duration, and reduce recurrence and mortality, suggesting that it is a superior treatment approach.
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