RRC ID 70197
著者 Itoh N, Akazawa N, Murakami H, Ishibana Y, Takahashi Y, Hosoda W, Yaguchi T, Kamei K.
タイトル A Schizophyllum commune fungus ball in a lung cancer cavity: a case report.
ジャーナル BMC Infect Dis
Abstract BACKGROUND:Schizophyllum commune is a basidiomycete that lives in the environment and can cause infections, mainly those of the respiratory system. Although S. commune is increasingly reported as a cause of allergic bronchopulmonary mycosis and sinusitis, cases of fungal ball formation are extremely uncommon. Identification of S. commune is difficult using routine mycological diagnostic methods, and in clinically suspicious cases, internal transcribed spacer sequencing should be used for diagnosis. Here, we report a first case of lung cancer with a fungal ball formation of S. commune, confirmed by analyzing the internal transcribed spacer.
CASE PRESENTATION:A 76-year-old man with diabetes and hypertension was admitted to the hospital with a chief complaint of hemosputum, which he had for about 19 months. A computed tomography image of the patient's chest showed a cavity and internal nodule in the left upper lobe of his lung. A left upper lobectomy was performed, and histopathological examination revealed squamous cell carcinoma of the lung and a fungal ball. The isolate from the surgical specimen was identified as S. commune by analyzing the internal transcribed spacer. The patient had no recurrence of the infection during 5 months of follow-up.
CONCLUSIONS:Only three cases of lung fungal balls caused by S. commune have been previously reported, and this is the first case of lung cancer cavity with a fungal ball formation. In cases of fungal ball formation in the lung, S. commune should be considered a possible causative microorganism.
巻・号 21(1)
ページ 1052
公開日 2021-10-9
DOI 10.1186/s12879-021-06739-8
PII 10.1186/s12879-021-06739-8
PMID 34627188
PMC PMC8502358
MeSH Aged Humans Invasive Pulmonary Aspergillosis* Lung Neoplasms* Male Neoplasm Recurrence, Local Schizophyllum* / genetics Tuberculosis, Pulmonary*
IF 2.688
リソース情報
病原真核微生物 Schizophyllum commune IFM 67107