[Pulmonary pseudallescheriasis in a patient with diabetes mellitus and alcoholic liver cirrhosis].
A 62-year-old man with diabetes mellitus and alcoholic liver cirrhosis was admitted to the hospital because of hemoptysis. Chest X-ray films and computed tomograms showed a dense infiltrative lesion and a healed tuberculous cavity with a possible fungus ball in the upper lobe of the right lung. Bronchoscopy revealed that the hemoptysis originated from the right upper-lobe bronchus. The bleeding stopped after thrombin was applied into the bronchus. Filamentous fungi were seen in lavage fluid from the right upper-lobe bronchus. The fungi were identified as Pseudallescheria boydii, and pulmonary pseudallescheriasis was diagnosed. the patient was treated successfully with miconazole (400 mg/day) for 2 months. Pseudallescheriasis should be taken into account in the differential diagnosis of aspergilloma-like lesions.
Saito
Y
Y
Department of Pneumology, Tokyo Metropolitan Hiroo General Hospital, Japan.
Mikami
M
M
Nakamura
S
S
Hashimoto
N
N
Abe
Y
Y
Baba
M
M
Takizawa
J
J
Kawakami
M
M
Kamei
K
K
D000935:Antifungal Agents / Q000627:therapeutic use; D048909:Diabetes Complications; D006801:Humans; D016867:Immunocompromised Host; D008104:Liver Cirrhosis, Alcoholic / Q000150:complications*; D008172:Lung Diseases, Fungal / Q000150:complications* / Q000188:drug therapy; D008297:Male; D008825:Miconazole / Q000627:therapeutic use; D008875:Middle Aged; D008271:Mycetoma / Q000150:complications* / Q000188:drug therapy; D009894:Opportunistic Infections / Q000150:complications*; D011541:Pseudallescheria
D000935:Antifungal Agents; D008825:Miconazole