title: Bilateral pulmonary shadows and incapsulated mediastinal effusion in a patient with respiratory blastoschizomycosis.
abstract: BACKGROUND
  Invasive blastoschizomycosis is an emerging and fatal infection of severely immunocompromised patients. Pneumonia caused by this fungus has been reported as a post mortem diagnosis in a patient with haematologic malignancy.
  
  
  METHODS
  A 46-year-old unemployed Caucasian man, smoker, was admitted on emergency in a serious condition, with bilateral pulmonary infiltrates (chest x-ray) and incapsulated mediastinal pleural effusions (computed tomography scans). Blastoschizomyces capitatus (Trichosporon capitatum) has been isolated from two sputum samples and bronchial secretion aspirate obtained by bronchoscopy.
  
  
  CONCLUSIONS
  Pneumonia caused by Blastoschizomyces capitatus can develop in subjects without underlying malignancy but with history of heavy alcohol intake, tobacco smoking and malnutrition and may have favorable disease outcome.
authors.affiliation: School of Medicine University of Belgrade, Belgrade, Serbia. dppesut@verat.net
authors.forename: Dragica
authors.initials: D
authors.lastname: Pesut
authors.forename: Tatjana
authors.initials: T
authors.lastname: Adzic
authors.forename: Tanja
authors.initials: T
authors.lastname: Tosic
authors.forename: Vladimir
authors.initials: V
authors.lastname: Zugi
authors.forename: Ruza
authors.initials: R
authors.lastname: Stevic
authors.forename: Ljudmila
authors.initials: L
authors.lastname: Nagorni-Obradovic
authors.forename: Eleonora
authors.initials: E
authors.lastname: Gvozdenovic
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001510:Bed Rest; D001758:Blastomyces / Q000302:isolation & purification; D001759:Blastomycosis / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D001992:Bronchoalveolar Lavage Fluid / Q000382:microbiology; D006801:Humans; D016867:Immunocompromised Host; D008172:Lung Diseases, Fungal / Q000175:diagnosis* / Q000382:microbiology / Q000628:therapy; D008297:Male; D008482:Mediastinum; D008875:Middle Aged; D010102:Oxygen Inhalation Therapy; D010996:Pleural Effusion / Q000175:diagnosis* / Q000382:microbiology / Q000628:therapy; D012307:Risk Factors; D013183:Sputum / Q000382:microbiology; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents