RRC ID 33063
著者 Saito Y, Mikami M, Nakamura S, Hashimoto N, Abe Y, Baba M, Takizawa J, Kawakami M, Kamei K.
タイトル [Pulmonary pseudallescheriasis in a patient with diabetes mellitus and alcoholic liver cirrhosis].
ジャーナル Nihon Kokyuki Gakkai Zasshi
Abstract A 62-year-old man with diabetes mellitus and alcoholic liver cirrhosis was admitted to the hospital because of hemoptysis. Chest X-ray films and computed tomograms showed a dense infiltrative lesion and a healed tuberculous cavity with a possible fungus ball in the upper lobe of the right lung. Bronchoscopy revealed that the hemoptysis originated from the right upper-lobe bronchus. The bleeding stopped after thrombin was applied into the bronchus. Filamentous fungi were seen in lavage fluid from the right upper-lobe bronchus. The fungi were identified as Pseudallescheria boydii, and pulmonary pseudallescheriasis was diagnosed. the patient was treated successfully with miconazole (400 mg/day) for 2 months. Pseudallescheriasis should be taken into account in the differential diagnosis of aspergilloma-like lesions.
巻・号 36(5)
ページ 498-502
公開日 1998-5-1
PMID 9742872
MeSH Antifungal Agents / therapeutic use Diabetes Complications* Humans Immunocompromised Host Liver Cirrhosis, Alcoholic / complications* Lung Diseases, Fungal / complications* Lung Diseases, Fungal / drug therapy Male Miconazole / therapeutic use Middle Aged Mycetoma / complications* Mycetoma / drug therapy Opportunistic Infections / complications* Pseudallescheria*
リソース情報
病原微生物 IFM 47161