Bilateral Three-Port Video-Assisted Thoracoscopic Thymectomy for Thymoma in Good's Syndrome With a History of Bacteremia.
| Autor: | Shibayama R; Gastrointestinal Surgery, Toranomon Hospital, Tokyo, JPN., Fujimori S; Respiratory Surgery, Toranomon Hospital, Tokyo, JPN., Suzuki S; Respiratory Surgery, Toranomon Hospital, Tokyo, JPN., Ohtsuka R; Respiratory Surgery, Toranomon Hospital, Tokyo, JPN., Karasaki T; Respiratory Surgery, Toranomon Hospital, Tokyo, JPN. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2024 Aug 21; Vol. 16 (8), pp. e67380. Date of Electronic Publication: 2024 Aug 21 (Print Publication: 2024). |
| DOI: | 10.7759/cureus.67380 |
| Abstrakt: | A 62-year-old man presented with back pain, lower leg swelling, and fever and was referred to our hospital. Blood cultures identified Helicobacter fennelliae as the causative agent of bacteremia associated with pyogenic spondylitis and cellulitis. CT revealed a tumor in the upper anterior mediastinum, and blood tests showed low gamma globulin levels, raising the suspicion of Good's syndrome. Infection control was prioritized, and the patient received antibiotics for four weeks. After blood cultures returned negative, preoperative gamma globulin was administered to mitigate infection risk, and a total thymectomy was planned. A bilateral three-port thoracoscopic total thymectomy was performed, and the patient was observed as an outpatient without any postoperative infection recurrence. We present a case of Good's syndrome with a high infection risk, successfully managed with a minimally invasive bilateral three-port thoracoscopic total thymectomy and effective perioperative infection control. Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Shibayama et al.) |
| Databáze: | MEDLINE |
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