Primary pulmonary sporotrichosis.
The diagnosis of primary pulmonary sporotrichosis was made in a 53-year-old male alcoholic four years after initial presentation with cavitary lung disease. Clinical and radiologic awareness of this extremely rare entity will allow optimal study of bronchial secretions in the bacteriology laboratory. Important clues include: (1) exposure to thorny plants, (2) cavitary pulmonary disease resistant to both diagnosis and treatment, and (3) a history of alcoholism.
D000437:Alcoholism / Q000150:complications; D006801:Humans; D008172:Lung Diseases, Fungal / Q000175:diagnosis / Q000000981:diagnostic imaging*; D008297:Male; D008875:Middle Aged; D011859:Radiography; D013174:Sporotrichosis / Q000175:diagnosis / Q000000981:diagnostic imaging*