Allergic Bronchopulmonary Mycosis Due to Schizophyllum Commune Treated Effectively with Voriconazole

Overview

Journal Intern Med

Specialty General Medicine

Date 2018 Apr 3

PMID 29607966

Citations 8

Authors

Takashi Ishiguro

Naho Kagiyama

Ayako Kojima

Masami Yamada

Yasuo Nakamoto

Yotaro Takaku

Yoshihiko Shimizu

Kazuyoshi Kurashima

Noboru Takayanagi

Affiliations

Soon will be listed here.

Abstract

A 63-year-old woman presented to our hospital for cough, sputum, and abnormal shadows on chest X-ray. Schizophyllum commune was isolated from mucous plugs. Positive specific IgE and IgG against the fungi, elevated serum IgE, and mucous plugs with typical histologic findings of allergic bronchopulmonary mycosis (ABPM) led to the diagnosis of ABPM due to S. commune. We initially administered itraconazole unsuccessfully. Changing the antifungal agent to voriconazole resulted in improvement of the symptoms and chest imaging findings. Her ABPM has not relapsed for two years since the cessation of voriconazole, which was administered for one year.

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