Diagnosis and treatment of pulmonary Aspergillus infection secondary to empyema complicated with lung cancer: a case report

BackgroundThis study aimed to explore the clinical characteristics, diagnosis, and management of Invasive Pulmonary Aspergillosis (IPA) complicating empyema in a patient with lung cancer.Case presentationWe analyzed the clinical manifestations, bronchoscopic findings, and therapeutic approaches, inc...

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Main Authors: Chen Zhu, Xiuli Liu, Ying Gu, Yuyao Shen, Tingshu Jiang
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-08-01
Series:Frontiers in Medicine
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Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2025.1660190/full
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author Chen Zhu
Xiuli Liu
Ying Gu
Yuyao Shen
Tingshu Jiang
author_facet Chen Zhu
Xiuli Liu
Ying Gu
Yuyao Shen
Tingshu Jiang
author_sort Chen Zhu
collection DOAJ
description BackgroundThis study aimed to explore the clinical characteristics, diagnosis, and management of Invasive Pulmonary Aspergillosis (IPA) complicating empyema in a patient with lung cancer.Case presentationWe analyzed the clinical manifestations, bronchoscopic findings, and therapeutic approaches, including anti-infective and anti-tumor treatments, in a patient diagnosed with IPA-associated empyema and lung cancer. Histopathological examination of bronchoscopic biopsy specimens confirmed pulmonary adenocarcinoma, while bronchoalveolar lavage fluid cultures identified Aspergillus fumigatus. Following the development of secondary empyema, comprehensive anti-infective and anti-tumor therapies were administered, leading to disease control. IPA-associated empyema complicating lung cancer represents a rare clinical scenario.ConclusionIn patients presenting with IPA, the potential coexistence of lung cancer should be considered. An integrated approach combining antifungal therapy and active anti-tumor treatment is essential for managing such cases.
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publisher Frontiers Media S.A.
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spelling doaj-art-b60dd96a108642f38e732c408fac7cd02025-08-20T04:00:48ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2025-08-011210.3389/fmed.2025.16601901660190Diagnosis and treatment of pulmonary Aspergillus infection secondary to empyema complicated with lung cancer: a case reportChen ZhuXiuli LiuYing GuYuyao ShenTingshu JiangBackgroundThis study aimed to explore the clinical characteristics, diagnosis, and management of Invasive Pulmonary Aspergillosis (IPA) complicating empyema in a patient with lung cancer.Case presentationWe analyzed the clinical manifestations, bronchoscopic findings, and therapeutic approaches, including anti-infective and anti-tumor treatments, in a patient diagnosed with IPA-associated empyema and lung cancer. Histopathological examination of bronchoscopic biopsy specimens confirmed pulmonary adenocarcinoma, while bronchoalveolar lavage fluid cultures identified Aspergillus fumigatus. Following the development of secondary empyema, comprehensive anti-infective and anti-tumor therapies were administered, leading to disease control. IPA-associated empyema complicating lung cancer represents a rare clinical scenario.ConclusionIn patients presenting with IPA, the potential coexistence of lung cancer should be considered. An integrated approach combining antifungal therapy and active anti-tumor treatment is essential for managing such cases.https://www.frontiersin.org/articles/10.3389/fmed.2025.1660190/fulllung cancerempyemaBALFbronchoscopicInvasive Pulmonary Aspergillosis
spellingShingle Chen Zhu
Xiuli Liu
Ying Gu
Yuyao Shen
Tingshu Jiang
Diagnosis and treatment of pulmonary Aspergillus infection secondary to empyema complicated with lung cancer: a case report
Frontiers in Medicine
lung cancer
empyema
BALF
bronchoscopic
Invasive Pulmonary Aspergillosis
title Diagnosis and treatment of pulmonary Aspergillus infection secondary to empyema complicated with lung cancer: a case report
title_full Diagnosis and treatment of pulmonary Aspergillus infection secondary to empyema complicated with lung cancer: a case report
title_fullStr Diagnosis and treatment of pulmonary Aspergillus infection secondary to empyema complicated with lung cancer: a case report
title_full_unstemmed Diagnosis and treatment of pulmonary Aspergillus infection secondary to empyema complicated with lung cancer: a case report
title_short Diagnosis and treatment of pulmonary Aspergillus infection secondary to empyema complicated with lung cancer: a case report
title_sort diagnosis and treatment of pulmonary aspergillus infection secondary to empyema complicated with lung cancer a case report
topic lung cancer
empyema
BALF
bronchoscopic
Invasive Pulmonary Aspergillosis
url https://www.frontiersin.org/articles/10.3389/fmed.2025.1660190/full
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