title: Pulmonary phaeohyphomycosis caused by phaeoacremonium in a kidney transplant recipient: successful treatment with posaconazole.
abstract: We report a rare case of pulmonary phaeohyphomycosis in a 49-year-old woman 6 years after kidney transplantation. She presented with dyspnea, cough, and fatigue. Her chest CT scan revealed nodular opacities in the right upper lung. A fine needle aspirate biopsy culture yielded Phaeoacremonium and surgical pathology of the biopsy showed chronic inflammation. We successfully treated her with posaconazole and managed drug interactions between posaconazole and tacrolimus. This is the second reported case of biopsy-proven pulmonary infection by Phaeoacremonium in a kidney transplant recipient and successfully treated with posaconazole.
authors: The Department of Medicine, Washington University School of Medicine, 660 S. Euclid Avenue, Renal Division/Campus Box 8126, St. Louis, MO 63110, USA.
authors: Saivaralaxmi
authors: S
authors: Monaganti
authors: The Department of Medicine, Washington University School of Medicine, 660 S. Euclid Avenue, Renal Division/Campus Box 8126, St. Louis, MO 63110, USA.
authors: Carlos A Q
authors: CA
authors: Santos
authors: Barnes-Jewish Hospital, Center for Outpatient Health, 4901 Forest Park Avenue, 5th Floor, St. Louis, MO 63108, USA.
authors: Andrea
authors: A
authors: Markwardt
authors: Department of Pathology & Immunology, Washington University School of Medicine, 660 S. Euclid Avenue, Campus Box 8118, St. Louis, MO 63110, USA.
authors: Morgan A
authors: MA
authors: Pence
authors: The Department of Medicine, Washington University School of Medicine, 660 S. Euclid Avenue, Renal Division/Campus Box 8126, St. Louis, MO 63110, USA.
authors: Daniel C
authors: DC
authors: Brennan