RRC ID 46954
著者 Ishiguro T, Takayanagi N, Saito A, Akiyama K, Wakayama M, Shibuya K, Shimizu Y, Sugita Y, Kamei K.
タイトル [Allergic bronchopulmonary mycosis due to Schizophyllum commune and Aspergillus fumigatus].
ジャーナル Nihon Kokyuki Gakkai Zasshi
Abstract A 53-year-old man who had been suffering from asthma presented to our hospital because of abnormal shadows detected on a chest X-ray film during a routine medical examination. A biopsy specimen of a mucus plug obtained by bronchoscopy showed fungal hyphae, eosinophils, and Charcot-Leyden crystals, with evidence of lung tissue eosinophilia. Schizophyllum commune and Aspergillus fumigatus were isolated from his sputum, bronchial washing specimens and the mucus plug. We detected specific immunoglobulin E anti-Aspergillus fumigatus responses and precipitating antibodies against Schizophyllum commune and Aspergillus fumigatus, which led to the diagnosis of allergic bronchopulmonary mycosis caused by both fungi. We gave him fluticasone/salmeterol and itraconazole; thereafter, his symptoms of cough and sputum production and his radiological findings all improved.
巻・号 49(8)
ページ 612-8
公開日 2011-8-1
PMID 21894779
MeSH Aspergillosis, Allergic Bronchopulmonary / microbiology* Aspergillus fumigatus / isolation & purification* Humans Invasive Pulmonary Aspergillosis Male Middle Aged Schizophyllum / isolation & purification*
リソース情報
病原微生物