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Updated: Jul 5, 2026

Efficient Method for Imaging Murine Lungs that Preserves Spatial Dynamics of Fungal Spores in the Airways
Published on: December 13, 2024
Imaging of pulmonary fusariosis in patients with hematologic malignancies
Edith M Marom1, Andrea M Holmes, John F Bruzzi
1Department of Diagnostic Imaging, The University of Texas M. D. Anderson Cancer Center, Unit 371, 1515 Holcombe Blvd., Houston, TX 77030, USA. emarom@di.mdacc.tmc.edu
Objective:
The purpose of this study was to assess the radiographic features of pulmonary fusariosis, an increasingly encountered cause of severe opportunistic mold pneumonia.
Conclusion:
Pulmonary fusariosis has radiographic manifestations that are suggestive of an angioinvasive mold. Nodules or masses were the most common findings at CT, seen in 82% of patients compared with only 45% on chest radiography. The halo sign was not seen. Chest radiographs showed nonspecific findings in 30% of patients, and findings were normal at presentation in 25%. All of the patients had underlying hematologic malignancies. Thirteen of the 20 patients studied (65%) died within 1 month of diagnosis of pulmonary fusariosis. Because early initiation of intense antifungal therapy offers the best chance for survival in pulmonary fusariosis, early CT and appropriate microbiologic investigation should be obtained in severely immunocompromised patients.
Insights
Pulmonary fusariosis, a severe pneumonia, often presents with nodules or masses on CT scans, unlike chest X-rays. Early diagnosis and treatment are crucial for survival in immunocompromised patients with hematologic malignancies.
Area of Science:
- Medical Imaging
- Infectious Diseases
- Pulmonology
Background:
- Pulmonary fusariosis is an emerging opportunistic mold pneumonia.
- It is a severe infection often seen in immunocompromised individuals.
Purpose of the Study:
- To evaluate the radiographic characteristics of pulmonary fusariosis.
- To correlate imaging findings with patient outcomes.
Main Methods:
- Retrospective review of CT and chest radiography in 20 patients with pulmonary fusariosis.
- Analysis of radiographic findings and their association with underlying conditions and survival.
Main Results:
- Nodules or masses were the most frequent CT finding (82%), compared to chest radiography (45%).
- Chest radiographs had nonspecific findings in 30% and were normal in 25% of cases.
- All patients had hematologic malignancies, and 65% died within one month.
Conclusions:
- Pulmonary fusariosis exhibits imaging features suggestive of angioinvasive mold infection.
- Early CT and microbiologic investigation are recommended for prompt diagnosis and treatment in high-risk patients.
- Timely antifungal therapy is critical for improving survival rates.
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