Pulmonary Schizophyllum commune infection developing mucoid impaction of the bronchi.
A 54-year-old woman was admitted for cough, sputum, and an abnormal chest X-ray shadow. Bronchoscopy showed mucoid impaction of the bronchi (MIB). Histopathologic evidence of mucous plugs was consistent with one component of allergic bronchopulmonary mycosis. Schizophyllum commune (S. commune) was identified. Two attempts at removal of the mucous plugs were unsuccessful. Itraconazole was then administered, and the mucous plugs disappeared. There are few reports of MIB due to S. commune; we herein report a case of MIB due to S. commune infection.
Ishiguro
Takashi
T
Department of Respiratory Medicine, Saitama Cardiovascular and Respiratory Center, 1696 Itai Kumagaya City, Saitama, Japan. ishiguro@med3.m.kanazawa-u.ac.jp
Takayanagi
Noboru
N
Tokunaga
Daidou
D
Kurashima
Kazuyoshi
K
Matsushita
Aya
A
Harasawa
Keiji
K
Yoneda
Koichiro
K
Tsuchiya
Noriko
N
Yamaguchi
Shozaburo
S
Miyahara
Yousuke
Y
Yano
Ryozo
R
Saito
Hiroo
H
Ubukata
Mikio
M
Yanagisawa
Tsutomu
T
Sugita
Yutaka
Y
Kawabata
Yoshinori
Y
D001980:Bronchi / Q000473:pathology*; D005260:Female; D006801:Humans; D008172:Lung Diseases, Fungal / Q000382:microbiology / Q000473:pathology*; D008875:Middle Aged; D009093:Mucus; D012567:Schizophyllum / Q000302:isolation & purification*