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Multiple mycetomas due to Pseudallescheria boydii
Southern Medical Journal
|May 1, 1987
Summary
Pulmonary sarcoidosis patients experiencing hemoptysis can develop multiple Pseudallescheria boydii fungus balls. Chest CT imaging revealed these mycetomas, a rare finding in this condition.
Area of Science:
- Pulmonology
- Mycology
- Radiology
Background:
- Pulmonary sarcoidosis is an inflammatory disease that can affect the lungs.
- Hemoptysis, or coughing up blood, is a concerning symptom requiring thorough investigation.
Observation:
- A patient with pulmonary sarcoidosis presented with hemoptysis.
- Chest CT revealed bilateral upper lobe cavities with five distinct mycetomas exhibiting air-crescent signs.
Findings:
- Bronchial washings tested positive for fungal elements.
- Cultures consistently identified Pseudallescheria boydii as the causative agent.
- This represents a rare case of multiple P. boydii fungus balls visualized via CT in a sarcoidosis patient.
Implications:
- Highlights the potential for P. boydii to cause multiple mycetomas in immunocompetent individuals with underlying lung disease.
- Emphasizes the importance of considering fungal infections in the differential diagnosis of hemoptysis in sarcoidosis.
- Suggests chest CT is a valuable tool for detecting and characterizing multiple fungal balls.