| RRC ID |
33063
|
| Author |
Saito Y, Mikami M, Nakamura S, Hashimoto N, Abe Y, Baba M, Takizawa J, Kawakami M, Kamei K.
|
| Title |
[Pulmonary pseudallescheriasis in a patient with diabetes mellitus and alcoholic liver cirrhosis].
|
| Journal |
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.
|
| Volume |
36(5)
|
| Pages |
498-502
|
| Published |
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*
|
| Resource |
| Pathogenic microorganisms |
IFM 47161 |
