Early surgical resection for induction-therapy-associated invasive pulmonary aspergillosis in AYA patient with leukemia enabling prompt resumption of chemotherapy: A case report

Key Points

• To evaluate the impact of early surgical intervention for invasive pulmonary aspergillosis in an AYA leukemia patient.
• Clinical diagnosis of invasive pulmonary aspergillosis after induction therapy for leukemia.
• Thoracoscopic right upper lobe resection and right lower lobe partial resection performed within 15 days of diagnosis.
• Post-surgical pathology confirmed findings consistent with Aspergillus species.
• Antifungal treatment failed to improve the patient's condition prior to surgery.
• Post-surgical recovery allowed for the initiation of consolidation therapy on day 13.
• A second surgery was required due to post-operative complications, but overall recovery was positive.