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Dillard TA, Julka K, Chen JY, et al. Fungal colonization of a pneumonectomy stump. J Bronchology Interv Pulmonol. 2010;17(4):334-5doi: 10.1097/LBR.0b013e3181f1e6c7.
Dillard, T. A., Julka, K., Chen, J. Y., & Chang, A. S. (2010). Fungal colonization of a pneumonectomy stump. Journal of bronchology & interventional pulmonology, 17(4), 334-5. https://doi.org/10.1097/LBR.0b013e3181f1e6c7
Dillard, Thomas A, et al. "Fungal colonization of a pneumonectomy stump." Journal of bronchology & interventional pulmonology vol. 17,4 (2010): 334-5. doi: https://doi.org/10.1097/LBR.0b013e3181f1e6c7
Dillard TA, Julka K, Chen JY, Chang AS. Fungal colonization of a pneumonectomy stump. J Bronchology Interv Pulmonol. 2010 Oct;17(4):334-5. doi: 10.1097/LBR.0b013e3181f1e6c7. PMID: 23168955.
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J Bronchology Interv Pulmonol. 2010 Oct;17(4):334-5. doi: 10.1097/LBR.0b013e3181f1e6c7.

Fungal colonization of a pneumonectomy stump.

Journal of bronchology & interventional pulmonology

Thomas A Dillard, Karan Julka, Jonathan Y Chen, Albert S Chang

Affiliations

  1. *Division of Pulmonary Critical Care, Departments of *Medicine and †Thoracic Surgery, Medical College of Georgia, Augusta, GA.

PMID: 23168955 DOI: 10.1097/LBR.0b013e3181f1e6c7

Abstract

A 59-year-old woman developed mild recurring hemoptysis once a week for several months after a fall with trauma to the chest. Sixteen years earlier she had undergone a right pneumonectomy at a hospital elsewhere for sequelae of pulmonary tuberculosis. Bronchoscopy, performed because of the recent hemoptysis, showed material in the pneumonectomy stump. The material had a gelatinous appearance, green color with a pale margin, and oblique striations. The material was removed by grasping with forceps and withdrawing the bronchoscope. Grocott methanamine silver stain was positive for septate, nonpigmented fungal organisms. Anatomic pathology microscopy also showed mucous, acute inflammatory cells, and necrotic tissue. Cytopathology of washings from the bronchial stump showed rare degenerated benign bronchial epithelial cells and fungal hyphae. Acid fast bacilli smears and cultures were negative. Bacterial cultures showed 3+ Pseudomonas aeruginosa. The patient had no further hemoptysis.

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