Massive bilateral chylothoraces complicating mediastinal granulomatous disease.

Full Abstract

Mediastinal granulomatous disease with resulting fibrosis is known to cause several serious complications, including pulmonary artery occlusion, bronchial stenosis, superior vena cava syndrome, and constrictive pericarditis. This process is typically the result of an excessive fibrogenic response to the antigen of the fungus Histoplasma capsulatum. We present a case of a 20-year-old man who had massive bilateral chylothoraxes develop as a complication of mediastinal granulomatous disease. Aggressive surgical therapy was necessary to treat this potentially life-threatening condition with an excellent result.

Author information

Author/s: Fernandez, Felix G (FG); Denlinger, Chadrick E (CE); Patterson, G Alexander (GA); Kreisel, Daniel (D); Krupnick, Alexander S (AS);

Affiliation: Division of Cardiothoracic Surgery, Washington University School of Medicine, St. Louis, Missouri, USA.

Journal and publication information

Publication Type: Case Reports; Journal Article

Journal: The Annals of thoracic surgery (Ann Thorac Surg), published in Netherlands. (Language: eng)

Reference: 2009-Sep; vol 88 (issue 3) : pp 1012-3

Dates: Created 2009/08/24; Completed 2009/09/14;

PMID: 19699948, status: MEDLINE (last retrieval date: 9/14/2009, IMS Date: )

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