Successful medical treatment of pulmonary petriellidiosis.

We have reported a case with culture and serologic evidence of pulmonary infection with Petriellidium boydii treated with intravenous miconazole, resulting in dramatic symptomatic improvement, stabilization of x-ray changes, and clearing of Petriellidium on sputum culture. Although no biopsy was done to establish absolute diagnosis of invasive disease, and thus the results of this case cannot be taken as an absolute criterion for therapy, this may represent the first medical cure of pulmonary infection with this agent.