title: Probable Phaeoacremonium parasiticum as a cause of cavitary native lung nodules after single lung transplantation.
abstract: Lung nodules after lung transplantation most often represent infection or post-transplant lymphoproliferative disorder in the allograft. Conversely, native lung nodules in single lung transplant recipients are more likely to be bronchogenic carcinoma. We present a patient who developed native lung cavitary nodules. Although malignancy was anticipated, evaluation revealed probable Phaeoacremonium parasiticum infection. Phaeoacremonium parasiticum is a dematiaceous fungus first described as a cause of soft tissue infection in a renal transplant patient. Lung nodules have not been previously described and this is the first case, to our knowledge, of P. parasiticum identified after lung transplantation.
authors.affiliation: Division of Pulmonary and Critical Care Medicine, University of Texas Medical Branch, Galveston, Texas 77555-0561, USA. skshah@utmb.edu
authors.forename: S K
authors.initials: SK
authors.lastname: Shah
authors.forename: P
authors.initials: P
authors.lastname: Parto
authors.forename: G A
authors.initials: GA
authors.lastname: Lombard
authors.forename: M A
authors.initials: MA
authors.lastname: James
authors.forename: D L
authors.initials: DL
authors.lastname: Beckles
authors.forename: S
authors.initials: S
authors.lastname: Lick
authors.forename: V G
authors.initials: VG
authors.lastname: Valentine
mesh_terms: D000368:Aged; D006801:Humans; D016867:Immunocompromised Host; D008172:Lung Diseases, Fungal / Q000175:diagnosis / Q000382:microbiology*; D016040:Lung Transplantation; D008297:Male; D055613:Multiple Pulmonary Nodules; D009181:Mycoses / Q000175:diagnosis / Q000382:microbiology*; D010676:Phialophora / Q000302:isolation & purification*; D015898:Tomography Scanners, X-Ray Computed