Cladosporium sphaerospermum as a Rare Cause of Pneumonia

Cladosporium sphaerospermum isa radiotrophic dematiaceous fungus that can rarely cause disease in humans such as infections of the skin, eye, upper airways, and brain. To the best of our knowledge, we present the first reported case of Cladosporium sphaerospermum-induced invasive lung infection. This case presents a 51-year-old male with a medical history significant for heavy smoking and severe alcohol abuse who was admitted for acute hypoxic respiratory failure secondary to a large exudative right pleural effusion compounded by hydropneumothorax. Despite an initial positive clinical response, appropriate medical treatment, and eradication of the infection, which was confirmed by repeat negative culture studies, the patient had a complicated hospital course. It is suspected that the patient's medical history played a role in the acquisition of the Cladosporium sphaerospermum infection as smoking and alcohol use are known risk factors for aspiration of pathogens into the pulmonary tract. We believe it is important to bring to attention this less known organism as a potential differential diagnosis for a complicated lung infection.