Necrotizing mycosis due to Verruconis gallopava in an immunocompetent patient

Infection. 2015 Dec;43(6):743-6. doi: 10.1007/s15010-015-0757-y. Epub 2015 Mar 6.

Abstract

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.

Publication types

  • Case Reports

MeSH terms

  • Ascomycota / classification*
  • Ascomycota / isolation & purification*
  • Female
  • Humans
  • Lung / diagnostic imaging
  • Lung / pathology
  • Lung Diseases, Fungal / diagnosis*
  • Lung Diseases, Fungal / pathology*
  • Microbiological Techniques
  • Microscopy
  • Middle Aged
  • Necrosis / etiology*
  • Necrosis / pathology*
  • Recurrence
  • Tomography, X-Ray Computed