Cavitary Coccidioidomycosis With Fungus Ball Formation

Autor: Jerry Pluss, John N. Galgiani, Richard E. Winn, Ray Johnson, Cliff Butler
Rok vydání: 1994
Předmět:
Zdroj: Chest. 105:412-416
ISSN: 0012-3692
Popis: Pulmonary cavitary coccidioidomycosis with fungus ball formation was observed in two individuals with hemoptysis. The first patient had no overt compromise; the second was an insulin-dependent diabetic. In both, fiberoptic bronchoscopy was performed and cultures yielded Coccidioides immitis. The coexistence of spherules and hyphae of C immitis was seen histologically on bronchoscopic biopsy specimen of one cavitary lesion. Specific antifungal therapy and surgical excision were withheld and each patient has done well. This report provides for the first time nonsurgical confirmation that C immitis can produce an intracavitary fungus ball.
Databáze: OpenAIRE