Delayed post‐pneumonectomy empyema necessitans caused by Aspergillus flavus: An unusual report

Abstract

Abstract Post‐pneumonectomy empyema (PPE), with or without bronchopleural fistula, is a challenging and serious entity with significant mortality and morbidity. PPE is usually caused by bacteria such as staphylococci, streptococci and also gram‐negative rods. Among fungal pathogens, Aspergillus species is a very rare cause of this entity. Herein, we describe an unusual case of delayed post‐pneumonectomy empyema necessitans caused by Aspergillus flavus in a 65‐year‐old man with favourable clinical outcome by combined surgical and antifungal therapy.

Keywords

• abscess
• Aspergillus
• empyema
• fungal infections
• lung cancer
• pneumonectomy