[Allergic bronchopulmonary mycosis due to Schizophyllum commune and Aspergillus fumigatus]

Nihon Kokyuki Gakkai Zasshi. 2011 Aug;49(8):612-8.
[Article in Japanese]

Abstract

A 53-year-old man who had been suffering from asthma presented to our hospital because of abnormal shadows detected on a chest X-ray film during a routine medical examination. A biopsy specimen of a mucus plug obtained by bronchoscopy showed fungal hyphae, eosinophils, and Charcot-Leyden crystals, with evidence of lung tissue eosinophilia. Schizophyllum commune and Aspergillus fumigatus were isolated from his sputum, bronchial washing specimens and the mucus plug. We detected specific immunoglobulin E anti-Aspergillus fumigatus responses and precipitating antibodies against Schizophyllum commune and Aspergillus fumigatus, which led to the diagnosis of allergic bronchopulmonary mycosis caused by both fungi. We gave him fluticasone/salmeterol and itraconazole; thereafter, his symptoms of cough and sputum production and his radiological findings all improved.

Publication types

  • Case Reports

MeSH terms

  • Aspergillosis, Allergic Bronchopulmonary / microbiology*
  • Aspergillus fumigatus / isolation & purification*
  • Humans
  • Invasive Pulmonary Aspergillosis
  • Male
  • Middle Aged
  • Schizophyllum / isolation & purification*