Pulmonary adiaspiromycosis in a patient with acquired immunodeficiency syndrome.
Adiaspiromycosis is a noninfectious, nonarthropod-transmitted fungal infection that occurs worldwide in lower vertebrates, especially rodents. However, humans may become accidental hosts. Reported here is a case of adiaspiromycosis of the lung in an HIV-positive, 40-year-old, bisexual man who first presented with cough and dyspnea. Cultures of a bronchoalveolar lavage and protected brush specimen revealed the presence of fungal elements that were identified as Emmonsia parva var. parva. The patient was successfully treated with amphotericin B and thereafter with fluconazole. This organism should be added to the list of pathogens that cause pulmonary infection in AIDS patients.
Turner
D
D
Department of Internal Medicine A, AIDS Center, Tel-Aviv Sourasky Medical Center, TEl-Aviv University, Sackler Faculty of Medicine, Israel. dntrnr@hotmail.com
Burke
M
M
Bashe
E
E
Blinder
S
S
Yust
I
I
D017088:AIDS-Related Opportunistic Infections / Q000000981:diagnostic imaging / Q000382:microbiology*; D000328:Adult; D001992:Bronchoalveolar Lavage Fluid / Q000382:microbiology; D002912:Chrysosporium / Q000302:isolation & purification*; D006801:Humans; D008168:Lung / Q000000981:diagnostic imaging / Q000382:microbiology*; D008172:Lung Diseases, Fungal / Q000000981:diagnostic imaging / Q000382:microbiology*; D008297:Male; D011859:Radiography