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Schizophyllum commune associated with bronchogenous cyst.

Nina Bulajic, Vlado Cvijanovic, Jelena Vukojevic

    Mycoses
    |June 21, 2006
    PubMed
    Summary

    Schizophyllum commune can cause long-standing disease, especially in those with prior TBC lesions, diabetes, or corticosteroid use. This report details isolating S. commune from an inflamed bronchogenous cyst in an immunocompetent patient, confirmed via nucleotide sequencing.

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    Area of Science:

    • Medical Mycology
    • Infectious Diseases
    • Molecular Biology

    Background:

    • Schizophyllum commune is a fungus known to cause disease, particularly in immunocompromised individuals.
    • Risk factors for developing long-standing disease include previous tuberculosis (TBC) lesions, diabetes, and corticosteroid therapy.
    • Fungal infections can present with varied clinical manifestations, necessitating accurate identification methods.

    Observation:

    • A case report of an inflamed bronchogenous cyst in a previously immunocompetent patient is presented.
    • Schizophyllum commune was isolated from the cyst.
    • The isolated fungal strain did not sporulate under standard conditions, posing an identification challenge.

    Findings:

    • Nucleotide sequencing was employed to definitively identify the causative agent as Schizophyllum commune.

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  • This case highlights the potential for S. commune to cause disease even in individuals without a significant history of immunosuppression.
  • The inability to sporulate underscores the importance of molecular techniques in fungal diagnostics.

    • Implications:

    • Accurate identification of Schizophyllum commune, even from non-sporulating isolates, is crucial for appropriate patient management.
    • This case expands the understanding of clinical presentations and potential hosts for S. commune infections.
    • Molecular identification methods are vital for diagnosing challenging fungal infections in clinical settings.