Invasive pulmonary pseudallescheriasis with direct invasion of the thoracic spine in an immunocompetent patient.
Most invasive pseudallescheriasis infections have occurred in immunocompromised patients. The case of an immunocompetent patient with invasive pulmonary pseudallescheriasis and subsequent contiguous extension to the ribs and spine is reported. Aspergillosis was mistakenly diagnosed on histopathologic examination of the debrided tissue. Culture of the debrided tissue yielded Pseudallescheria boydii.
Department of Internal Medecine, National Taiwan University Hospital, Taipei, Republic of China.
C C
CC
Hung
S C
SC
Chang
P C
PC
Yang
W C
WC
Hsieh
D000368:Aged; D001228:Aspergillosis / Q000175:diagnosis; D003937:Diagnosis, Differential; D016469:Fungemia / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D006801:Humans; D016867:Immunocompromised Host; D007796:Laminectomy; D008172:Lung Diseases, Fungal / Q000175:diagnosis* / Q000188:drug therapy; D008297:Male; D008826:Microbial Sensitivity Tests; D009091:Mucormycosis / Q000175:diagnosis* / Q000382:microbiology / Q000628:therapy; D011541:Pseudallescheria / Q000187:drug effects / Q000302:isolation & purification*; D013122:Spinal Diseases / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy