Ochroconis gallopava bronchitis mimicking haemoptysis in a patient with bronchiectasis

Autor: M. Bernasconi, C. Voinea, P.M. Hauser, L.P. Nicod, R. Lazor
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Zdroj: Respiratory Medicine Case Reports, Vol 22, Iss C, Pp 215-217 (2017)
Druh dokumentu: article
ISSN: 2213-0071
DOI: 10.1016/j.rmcr.2017.08.021
Popis: Ochroconis gallopava is an anamorphic mould characterized by slow growth rate and production of a maroon pigment, which has been isolated worldwide from soil, thermal springs, decaying vegetation, and chicken litter. It has been reported to cause localized, mostly pulmonary, and systemic infection in severely immunocompromised patients. We describe the case of a 76-year-old woman known for ulcerative colitis-related bronchiectasis treated with low dose oral steroids, who developed a fungal bronchitis with dark, bloody-like, sputum which was initially misinterpreted as haemoptysis. A filamentary mould grew on sputum culture, and was identified by DNA analysis as Ochroconis gallopava. We observed a significant clinical improvement after 6 weeks of itraconazole therapy.
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