Multiple mycetomas due to Pseudallescheria boydii.
A patient with pulmonary sarcoidosis had evaluation of hemoptysis. A CT scan of the chest showed bilateral upper lobe cavities and five separate mycetomas with air-crescent signs. Bronchial washings were positive on stains for fungal elements, and all cultures grew Pseudallescheria boydii. We have not seen a previous report of multiple fungus balls due to P boydii demonstrated by chest CT.
D000328:Adult; D001203:Ascomycota / Q000302:isolation & purification*; D006801:Humans; D008172:Lung Diseases, Fungal / Q000209:etiology*; D008297:Male; D008271:Mycetoma / Q000209:etiology*; D011541:Pseudallescheria / Q000302:isolation & purification*; D012507:Sarcoidosis / Q000150:complications