» Articles » PMID: 39355473

A Case of Allergic Bronchopulmonary Mycosis Caused by Cordyceps Farinosa, a Species of Caterpillar Fungi

Overview
Journal Cureus
Date 2024 Oct 2
PMID 39355473
Authors
Affiliations
Soon will be listed here.
Abstract

A female patient in her thirties presented with persistent cough and sputum, unresponsive to conventional treatments. Chest imaging showed infiltrative opacities and high attenuation mucus. On laboratory examination, eosinophil counts and immunoglobulin E were elevated. ,a species of caterpillar fungi, was identified by bronchoscopy and subsequent DNA sequencing from the mucus plug. The symptoms improved after the removal of mucus plugs and cessation of exposure to the work environment. Allergic bronchopulmonary mycosis (ABPM) caused by has not been reported, and its pathogenicity is not well recognized. Herein, we report this case to understand the disease spectrum of ABPM and the pathogenicity of this rare fungi.

References
1.
Ishiguro T, Takayanagi N, Kagiyama N, Shimizu Y, Yanagisawa T, Sugita Y . Clinical characteristics of biopsy-proven allergic bronchopulmonary mycosis: variety in causative fungi and laboratory findings. Intern Med. 2014; 53(13):1407-11. DOI: 10.2169/internalmedicine.53.2230. View

2.
HINSON K, MOON A, Plummer N . Broncho-pulmonary aspergillosis; a review and a report of eight new cases. Thorax. 1952; 7(4):317-33. PMC: 1019200. DOI: 10.1136/thx.7.4.317. View

3.
Araujo R, Rodrigues A . Variability of germinative potential among pathogenic species of Aspergillus. J Clin Microbiol. 2004; 42(9):4335-7. PMC: 516339. DOI: 10.1128/JCM.42.9.4335-4337.2004. View

4.
Ishiguro T, Takayanagi N, Baba Y, Takaku Y, Kagiyama N, Sugita Y . Pulmonary Nontuberculous Mycobacteriosis and Chronic Lower Respiratory Tract Infections in Patients with Allergic Bronchopulmonary Mycosis without Cystic Fibrosis. Intern Med. 2016; 55(9):1067-70. DOI: 10.2169/internalmedicine.55.5561. View

5.
Asano K, Hebisawa A, Ishiguro T, Takayanagi N, Nakamura Y, Suzuki J . New clinical diagnostic criteria for allergic bronchopulmonary aspergillosis/mycosis and its validation. J Allergy Clin Immunol. 2020; 147(4):1261-1268.e5. DOI: 10.1016/j.jaci.2020.08.029. View