Petriellidiosis (Allescheriosis): Four unusual cases and review of literature

Rippon, John W.; Carmichael, J. W.

doi:10.1007/bf00707183

Cited by 57 publications

(27 citation statements)

References 16 publications

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“…TRAVIS et al [2] reported pat-ients with pulmonary involvements of whom 87% had a variety of underlying pulmonary diseases and 17% had received corticosteroid therapy. Solitary nodular lesions, pleurisy, and allergic bronchopulmonary fungal disease were reported as atypical pulmonary lesions [1,4,5].…”

Section: Discussionmentioning

confidence: 99%

“…The minimal inhibitory concentrations of itraconazole and amphotericin B were 1 µg·mL -1 and 2 µg· mL -1 , respectively. RIPPON and CARMICHAEL [4] reported colonization of the bronchi by S. apiospermum in a patient receiving steroid therapy in whom the lesions disappeared when steroid therapy was discontinued. In the present case, methylprednisolone was discontinued soon after the definitive diagnosis was obtained.…”

Section: Discussionmentioning

confidence: 99%

“…No other abnormal findings were demonstrated in other bronchi by bronchoscopy. The CT scan showed a protrusion which corresponded to the polypoid lesions in the lumen of the left B 4 bronchus, but no invasiveness towards the surrounding lung tissues was shown ( fig. 3).…”

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confidence: 99%

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Polypoid bronchial lesions due to Scedosporium apiospermum in a patient with Mycobacterium avium complex pulmonary disease

Murayama

Amitani²,

Tsuyuguchi³

et al. 1998

Eur Respir J

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aaScedosporium apiospermum, the asexual stage of the fungus Pseudoallescheria boydii, exists saprophytically in soil, sewage and polluted streams with a worldwide distribution. Host factors such as systemic and local impaired host defences are considered to determine whether S. apiospermum infection occurs and how invasive it will be [1]. Lung involvement caused by S. apiospermum ranges from colonization including fungus ball formation to necrotizing pneumonia. This study reports a case of polypoid bronchial lesions caused by S. apiospermum in a patient with Mycobacterium avium complex (MAC) pulmonary disease. To our knowledge, there have been no reports of such lesions due to S. apiospermum. Case reportA 69 yr old housewife was admitted to our hospital in November 1995, for further examination of abnormal shadows on chest radiographs. She had a history of tuberculous pleurisy at the age of 16 yrs. She had been suffering from rheumatoid arthritis for 20 yrs. Interstitial pneumonia due to gold used for rheumatoid arthritis occurred at the age of 53 yrs and was improved by discontinuation of the drug. She underwent surgical procedures for joint replacement of the right hip joint at the age of 61 yrs and both knee joints at the age of 66 yrs. She had taken bucillamine since she was 61 yrs old and methylprednisolone (4 mg·day -1 ) since the age of 68 yrs. She had never smoked. She did not have any history of heavy exposure to any kind of dust. Two years before admission to the hospital, chest radiographs demonstrated small nodular shadows in the right middle lung field. One month before admission, chest radiographs showed the worsening of small nodular shadows in bilateral middle lung fields and the thickening of bronchial walls. She had never complained of any respiratory symptoms, including cough and sputum.On admission, physical examinations revealed inspiratory fine crackles in the lower back. Peripheral lymph nodes were not palpable. Her fingers had severe deformities due to rheumatoid arthritis. Her blood pressure was 124/74 mmHg. Results of laboratory examinations were as follows: haematocrit, 35.4%; white cell count, 6,200· mm -2 , with 67% neutrophils, 20.4% lymphocytes, 8.3% monocytes and 3.9% eosinophils; and CD3+ cells, CD4+ cells and CD8+ cells were 88.8%, 72.4% and 14.8%, respectively. The blastogenic response to phytohaemagglutinin was normal. C-Reactive protein was 1.73 mg·dL -1 and rheumatoid factor test was positive. Serum immunoglobulin (Ig)G, IgA, IgM and IgE levels were normal. The precipitating antibodies to Aspergillus spp. and antigen of cryptococcus were negative. Candida antigen was slightly elevated. The tuberculin skin test was negative. Chest radiographs ( fig. 1) and a computed tomography (CT) scan on admission showed clusters of small nodules in the subpleural regions of both lungs, combined with bronchiectasis, especially in the right middle lobe and left lingula bronchi.Polypoid bronchial lesions due to Scedosporium apiospermum in a patient with Mycobacterium avium complex pulmonary ...

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Polypoid bronchial lesions due to Scedosporium apiospermum in a patient with Mycobacterium avium complex pulmonary disease

Murayama

Amitani²,

Tsuyuguchi³

et al. 1998

Eur Respir J

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“…The noninvasive, colonization infection by S. apiospermum in a preformed 10 or natural 14 air space has been named in the literature as mycetoma 13,15 , fungoma 7 , fungus ball 8,10 , non-aspergillus aspergilloma 5 , and pseudallescherioma 9 . Mycetoma is recognized by tumefaction and draining sinuses, diagnosed by granules.…”

Section: Introductionmentioning

confidence: 99%

Respiratory tract intracavitary colonization due to Scedosporium apiospermum: report of four cases

Severo

Oliveira²,

Irion³

2004

Rev. Inst. Med. trop. S. Paulo

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“…Only 3 fungal forms were recovered -2 Aspergillus species and 1 Scedosporium apiospermum (Petriellidium boydii). The latter is a well-documented agent of mycetoma, but has also been reported to be a rare cause of otomycosis (Rippon & Carmichael, 1976).…”

Section: Otitis Mediamentioning

confidence: 99%

Bacterial and mycotic otological infections in Singapore

Chow

Hong

et al. 1986

J. Hyg.

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SUMMARYThis paper describes a microbiological study of 84 young adult men with clinical otitic infections. Gram-negative aerobic bacilli were frequently isolated from these patients diagnosed as having otitis externa or chronic suppurative otitis media, of which Pseudomonas species predominated.Staphylococcus aureus, S. epidermidis and aerobic Corynebacterium species (diphtheroids) were also found. About 40 % of ear infections were attributed to otomycoses, chiefly from Aspergillus species and Candida parapsilosis. Antimicrobial susceptibility testing of the bacterial isolates revealed that Pseudomonas species were generally resistant to antibiotics commonly employed in general practice: ampicillin, erythromycin, co-trimoxazole, tetracycline and cephaloridine. However, polymyxin B, gentamicin and neomycin were active against some Pseudomonas isolates. Other Gram-negative bacilli were also mainly sensitive to gentamicin, neomycin as well as co-trimoxazole. Disc diffusion and minimum inhibitory concentration studies demonstrated good activity of ceftazidime, cefoperazone, tobramycin and carbenicillin against strains of Pseudomonas species and other Gram-negative rods. Cefotaxime and cefoxitin were active against Gram-negative bacilli other than Pseudomonas species. Beta-lactamase production did not appear to be the main mechanism of resistance in these communityacquired Gram-negative bacillary isolates. The antimicrobial therapy of otological infections is reviewed.

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Petriellidiosis (Allescheriosis): Four unusual cases and review of literature

Cited by 57 publications

References 16 publications

Polypoid bronchial lesions due to Scedosporium apiospermum in a patient with Mycobacterium avium complex pulmonary disease

Polypoid bronchial lesions due to Scedosporium apiospermum in a patient with Mycobacterium avium complex pulmonary disease

Respiratory tract intracavitary colonization due to Scedosporium apiospermum: report of four cases

Bacterial and mycotic otological infections in Singapore

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