Nihon Kokyuki Gakkai zasshi = the journal of the Japanese Respiratory Society · 2011
[Allergic bronchopulmonary mycosis due to Schizophyllum commune and Aspergillus fumigatus].
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Ishiguro Takashi, Takayanagi Noboru, Saito Akemi, Akiyama Kazuo, Wakayama Megumi, Shibuya Kazutoshi, Shimizu Yoshihiko, Sugita Yutaka, Kamei Katsuhiko
Аннотация
A 53-year-old man who had been suffering from asthma presented to our hospital because of abnormal shadows detected on a chest X-ray film during a routine medical examination. A biopsy specimen of a mucus plug obtained by bronchoscopy showed fungal hyphae, eosinophils, and Charcot-Leyden crystals, with evidence of lung tissue eosinophilia. Schizophyllum commune and Aspergillus fumigatus were isolated from his sputum, bronchial washing specimens and the mucus plug. We detected specific immunoglobulin E anti-Aspergillus fumigatus responses and precipitating antibodies against Schizophyllum commune and Aspergillus fumigatus, which led to the diagnosis of allergic bronchopulmonary mycosis caused by both fungi. We gave him fluticasone/salmeterol and itraconazole; thereafter, his symptoms of cough and sputum production and his radiological findings all improved.