title: [Pulmonary pseudallescheriasis in a patient with diabetes mellitus and alcoholic liver cirrhosis].
abstract: 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.
authors.affiliation: Department of Pneumology, Tokyo Metropolitan Hiroo General Hospital, Japan.
authors.forename: Y
authors.initials: Y
authors.lastname: Saito
authors.forename: M
authors.initials: M
authors.lastname: Mikami
authors.forename: S
authors.initials: S
authors.lastname: Nakamura
authors.forename: N
authors.initials: N
authors.lastname: Hashimoto
authors.forename: Y
authors.initials: Y
authors.lastname: Abe
authors.forename: M
authors.initials: M
authors.lastname: Baba
authors.forename: J
authors.initials: J
authors.lastname: Takizawa
authors.forename: M
authors.initials: M
authors.lastname: Kawakami
authors.forename: K
authors.initials: K
authors.lastname: Kamei
mesh_terms: 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
chemical_list: D000935:Antifungal Agents; D008825:Miconazole