[Two cases of allergic bronchopulmonary mycosis caused by Schizophyllum commune in young asthmatic patients].
We report on two patients, a 27-year-old and a 33-year-old woman, with allergic bronchopulmonary mycosis (ABPM) caused by the basidiomycetous fungus Schizophyllum commune (S. commune). Each patient had bronchial asthma. Both were admitted to our institution for further examination of cough, sputum, and abnormal chest shadows. ABPM was strongly suspected, because they showed eosinophilia in both peripheral blood and sputum, and increased serum IgE levels. A mold was isolated from their sputum, but identification was not possible. Systemic corticosteroid therapy relieved their symptoms and chest abnormal shadows. Later, S. commune, a basidiomycetous fungus, was detected from further examination of their sputum cultures, and serum anti-S. commune IgG was elevated. Finally, both cases were diagnosed as ABPM caused by S. commune. It is reported that this syndrome typically develops in women in middle age, but our patients were young women. It is important to take into account the possibility of ABPM caused by S. commune even in young patients when Aspergillus species are not isolated.
Kawano
Tetsuya
T
Second Department of Internal Medicine, Nagasaki University School of Medicine, 1-7-1, Sakamoto, Nagasaki, 852-8501, Japan.
Matsuse
Hiroto
H
Iida
Keiko
K
Kondo
Yuki
Y
Machida
Ikuko
I
Saeki
Sachiko
S
Tomari
Shinya
S
Miyazaki
Yoshitsugu
Y
Kohno
Shigeru
S
D000328:Adult; D000367:Age Factors; D001249:Asthma / Q000188:drug therapy / Q000382:microbiology*; D005260:Female; D006801:Humans; D006967:Hypersensitivity / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D008172:Lung Diseases, Fungal / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D011239:Prednisolone / Q000008:administration & dosage; D012567:Schizophyllum / Q000302:isolation & purification / Q000472:pathogenicity*; D013183:Sputum / Q000382:microbiology; D016896:Treatment Outcome
D011239:Prednisolone