Necrotizing mycosis due to Verruconis gallopava in an immunocompetent patient.
Verruconis gallopava is a dematiaceous mould usually causing saprophytic infection in immunosuppressed host. Only a few cases have been published even in immunocompromised states. We present a rare case of pulmonary involvement in an immunocompetent patient with recurrent disease. The mid-aged woman had no evidence of any disease causing impaired immune response. Recurrent disease shows pulmonary infiltrates and symptoms of allergic bronchopulmonary mycosis. We describe an emerging pathogen that has been found in an immunocompetent host. Eradication was not possible despite the use of several different antifungal drugs. Further recurrence of infection in the described patient is probable.
Department of Pulmonology, Klinikum Klagenfurt am Wörthersee, Feschnigstr. 11, AT 9020, Klagenfurt, Austria. christian@geltner.at.
Christian
C
Geltner
Institute of Laboratory Diagnostics and Microbiology, Klinikum Klagenfurt, Klagenfurt, Austria.
Sieglinde
S
Sorschag
Division of Clinical Microbiology, Department of Laboratory Medicine, Medical University of Vienna, Vienna, Austria.
Birgit
B
Willinger
Department of Pulmonology, Klinikum Klagenfurt am Wörthersee, Feschnigstr. 11, AT 9020, Klagenfurt, Austria.
Thomas
T
Jaritz
Department of Pulmonology, Klinikum Klagenfurt am Wörthersee, Feschnigstr. 11, AT 9020, Klagenfurt, Austria.
Zoran
Z
Saric
Division of Hygiene and Microbiology, Medical University Innsbruck, Innsbruck, Austria.
Cornelia
C
Lass-Flörl
D001203:Ascomycota / Q000145:classification* / Q000302:isolation & purification*; D005260:Female; D006801:Humans; D008168:Lung / Q000000981:diagnostic imaging / Q000473:pathology; D008172:Lung Diseases, Fungal / Q000175:diagnosis* / Q000473:pathology*; D008828:Microbiological Techniques; D008853:Microscopy; D008875:Middle Aged; D009336:Necrosis / Q000209:etiology* / Q000473:pathology*; D012008:Recurrence; D014057:Tomography, X-Ray Computed