Document Detail

Polypoid bronchial lesions due to Scedosporium apiospermum in a patient with Mycobacterium avium complex pulmonary disease.
MedLine Citation:
PMID:  9762808     Owner:  NLM     Status:  MEDLINE    
A 69 yr old female was hospitalized for further examination of abnormal shadows on chest radiographs. She had a history of tuberculous pleurisy, rheumatoid arthritis and gold-induced interstitial pneumonia. On admission she still suffered from rheumatoid arthritis. A chest computed tomography scan on admission showed clusters of small nodules in subpleural regions of both lungs combined with bronchiectasis. Mycobacterium avium complex was cultured repeatedly from the sputum. Bronchoscopic examination disclosed white-yellow polypoid lesions in the orifice of the left B4 bronchus. Cultures of the brushing specimen of the polypoid lesions and bronchial aspirates from the B4 bronchus yielded smoky-grey mycelial colonies that were later identified as Scedosporium apiospermum. It was concluded that the polypoid bronchial lesions due to Scedosporium apiospermum were formed in the preexisting dilated bronchus caused by Mycobacterium avium complex pulmonary disease.
T Murayama; R Amitani; K Tsuyuguchi; I Watanabe; T Kimoto; K Suzuki; E Tanaka; K Kamei; K Nishimura
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The European respiratory journal     Volume:  12     ISSN:  0903-1936     ISO Abbreviation:  Eur. Respir. J.     Publication Date:  1998 Sep 
Date Detail:
Created Date:  1998-12-29     Completed Date:  1998-12-29     Revised Date:  2013-05-23    
Medline Journal Info:
Nlm Unique ID:  8803460     Medline TA:  Eur Respir J     Country:  DENMARK    
Other Details:
Languages:  eng     Pagination:  745-7     Citation Subset:  IM    
Dept of Infection and Inflammation, Chest Disease Research Institute, Kyoto University, Japan.
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MeSH Terms
Follow-Up Studies
Lung Diseases, Fungal / complications,  diagnosis*
Magnetic Resonance Imaging
Mycetoma / complications,  diagnosis*
Mycobacterium avium Complex / isolation & purification*
Mycobacterium avium-intracellulare Infection / complications,  diagnosis*
Pseudallescheria / isolation & purification*

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