Logo American Journal of Case Reports

Call: 1.631.629.4328
Mon-Fri 10 am - 2 pm EST

Contact Us

Logo American Journal of Case Reports Logo American Journal of Case Reports Logo American Journal of Case Reports

24 October 2008

Pulmonary pseudallescheriasis

Seiji Okimasa, Satoshi Shibata, Shinkichiro Yoshioka

Am J Case Rep 2008; 9:411-414 :: ID: 869422

Abstract

Background: Pseudallescheria boydii (P. boydii) is the most frequent etiological agent of eumycotic mycetoma and is an occasional agent of otomycosis, keratitis, endophthalmitis, meningitis, brain abscess, and osteomyelitis. However, this condition is very rare, and is usually observed in immunocompromised patients. Here, we report a case of pulmonary pseudallescheriasis in a patient without immunity disorder.
Case Report: The patient was a 25-year-old construction worker. He presented to our hospital with hemoptysis, and a chest X-ray revealed nodular shadows in the left upper lung field. Chest computed tomography (CT) revealed infiltration with cavitary nodules. The results of fl exible bronchoscopy examination suggested pulmonary aspergillosis. Pyrexia was observed at the same time. The patient was treated with micafungin sodium (MCFG), but showed no improvement. Later, fungi suspected to be P. boydii were detected on Sabouraud’s agar. Antifungal therapy was changed to administration of voriconazole (VRCZ). Despite the disappearance of pyrexia, the abnormal shadow did not disappear completely, and left upper lobectomy was performed. The patient’s postoperative course was uneventful, and he has been followed up on an outpatient basis without any recurrence.
Conclusions: It is important to consider this disease in cases in which medication using amphotericin B and/or MCFG is not effective under a diagnosis of pulmonary aspergillosis. It is recommended to perform a culture test and PCR without delay. In addition, we believe that surgery for locally invasive disease as in this case may be of value in preventing rapid and fatal dissemination.

Keywords: fungal infection, Lung, Pseudoallescheria

0 Comments

SARS-CoV-2/COVID-19

30 November 2022 : Case report  Gabon

Severe COVID-19 in 2 Kidney Transplant Patients in Gabon

Am J Case Rep In Press; DOI: 10.12659/AJCR.938003  

23 November 2022 : Case report  Grenada

Mepolizumab as a Potential Protective Factor of COVID-19 Mortality: A Case Report of Chronic Bronchitis and...

Am J Case Rep In Press; DOI: 10.12659/AJCR.938450  

In Press

02 Dec 2022 : Case report  Portugal

A 54-Year-Old Woman with Papillary Thyroid Carcinoma Associated with Secondary Amyloid Goiter and Thyroid L...

Am J Case Rep In Press; DOI: 10.12659/AJCR.938156  

02 Dec 2022 : Case report  Saudi Arabia

A 14-Year-Old Saudi Boy with Gynecomastia, Cushing Syndrome, Large-Cell Calcifying Sertoli Cell Tumor of th...

Am J Case Rep In Press; DOI: 10.12659/AJCR.937404  

01 Dec 2022 : Case report  China (mainland)

Ureterolithiasis in Human Immunodeficiency Virus (HIV) Patients Treated with Single-Use Ureteroscope: A Cas...

Am J Case Rep In Press; DOI: 10.12659/AJCR.938608  

01 Dec 2022 : Case report  Saudi Arabia

Ancient Schwannoma: Case Report of an Unusual Entity in an Unusual Oral Location

Am J Case Rep In Press; DOI: 10.12659/AJCR.938335  

Most Viewed Current Articles

13 Jul 2022 : Case report  USA

Whistling Scrotum: An Unusual Presentation of Pneumomediastinum in the Setting of an Open Scrotal Wound

DOI :10.12659/AJCR.936441

Am J Case Rep 2022; 23:e936441

23 Feb 2022 : Case report  USA

Penile Necrosis Associated with Local Intravenous Injection of Cocaine

DOI :10.12659/AJCR.935250

Am J Case Rep 2022; 23:e935250

06 Dec 2021 : Case report  Brazil

Lipedema Can Be Treated Non-Surgically: A Report of 5 Cases

DOI :10.12659/AJCR.934406

Am J Case Rep 2021; 22:e934406

17 Feb 2022 : Case report  Oman

Myocarditis, Pulmonary Hemorrhage, and Extensive Myositis with Rhabdomyolysis 12 Days After First Dose of P...

DOI :10.12659/AJCR.934399

Am J Case Rep 2022; 23:e934399

Your Privacy

We use cookies to ensure the functionality of our website, to personalize content and advertising, to provide social media features, and to analyze our traffic. If you allow us to do so, we also inform our social media, advertising and analysis partners about your use of our website, You can decise for yourself which categories you you want to deny or allow. Please note that based on your settings not all functionalities of the site are available. View our privacy policy.

American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923