RRC ID 85183
著者 Motohashi T, Sekiya M, Sakamoto S, Fukuda K, Nakamura Y, Sasaki M, Tochigi N, Yaguchi T, Kamei K, Kishi K.
タイトル Successful treatment by switching from benralizumab to dupilumab in a patient with allergic bronchopulmonary mycosis caused by Schizophyllumcommune.
ジャーナル Respir Investig
Abstract A 79-year-old female patient with a history of bronchial asthma was diagnosed with allergic bronchopulmonary aspergillosis. Her symptoms temporarily improved with inhaled corticosteroid/long-acting β2-agonist therapy. However, 10 months after treatment, her asthma symptoms worsened. Sputum culture showed white cotton wool colonies, which were identified as Schizophyllum commune via matrix-assisted laser desorption/ionization time-of-flight mass spectrometry and gene sequencing. The patient tested positive for S. commune-specific IgG. Thus, she was diagnosed with Schizophyllum commune-induced allergic bronchopulmonary mycosis. The patient was initially treated with benralizumab. However, it was not effective. After switching to dupilumab, her symptoms and mucus plugs improved.
巻・号 63(3)
ページ 311-313
公開日 2025-5-1
DOI 10.1016/j.resinv.2025.02.011
PII S2212-5345(25)00022-X
PMID 40054037
MeSH Aged Antibodies, Monoclonal, Humanized* / administration & dosage Antibodies, Monoclonal, Humanized* / therapeutic use Aspergillosis, Allergic Bronchopulmonary* / drug therapy Aspergillosis, Allergic Bronchopulmonary* / microbiology Asthma / complications Drug Substitution* Female Humans Schizophyllum* / immunology Schizophyllum* / isolation & purification Treatment Outcome
リソース情報
病原真核微生物 Schizophyllum commune IFM 67768