Pulmonary monosporosis: An uncommon pulmonary mycotic infection

Abstract

At that time he gave a history of pleuritic type chest pain, cough, and blood-streaked sputum. Physical examination revealed bilateral crepitations in the lungs, and his chest radiograph showed dense fibrotic infiltration over the entire right lung field with evidence of cavitation in the right upper lobe. On the left there were scattered, less dense infiltrations in the lower two-thfirds. Sputum smears for acid-fast bacilli initially were reported as Gaffky VI. Subsequent sputa were negative. No cultures were made. A diagnosis of far advanced, pulmonary tuberculosis was made, and treatment consisted of repeated artificial pneumothoraces on the right. After one year he was discharged as improved.The patient remained well for two years, but was readmitted in 1941 because of shortness of breath, cough, and one episode of haemoptysis: at that time he received several additional artificial pneumothorax treatments. Sputum smears were negative for acid-fast bacilli.His third admission was in 1948 for 10 days, and once more he was given a pneumothorax on the right.The patient then felt well enough to do light work as a carpenter and as a farmer. He was admitted for the fourth time in November 1965 because of bloodstreaking in the sputum. His chest radiograph showed dense infiltration in the upper two-thirds of the right lung with cavity formation, while the left lung was 722 on 10 May 2018 by guest. Protected by copyright.

Infections Caused byScedosporiumspp

“…In reviews by Lutwick et al, Reddy et al, and Jung et al, the authors identified preformed cavities in 13 out of 14 cases (211,260,352). Filaments of mycelium (plectenchyma) and conidia were found in large residual cavities in a resolved case of tuberculosis (10).…”

Scedosporium apiospermum: changing clinical spectrum of a therapy-refractory opportunist*

“…Of the three patients reported by Reddy et al . [230], one was skin tested with an extract of S. apiospermum , but gave no response. Rippon and Carmichael [216] reported a case of transient endobronchial colonization.…”

Serological diagnosis of petriellidiosis (allescheriosis) II. Indirect (passive) hemagglutination assay for antibody to polysaccharide antigens of pertriellidium (allescheria) boydii and monosporium apiospermum

“…These fungi have been recognized as etiologic agents of a variety of clinically apparent infections including pulmonary mycoses (25), meningomycoses (5), keratomycoses (4), and infection of the prostate gland (19). Infections of domestic animals also have been reported (13).…”