We report the case of a 75-year-old woman with mucoid impaction of the bronchi (MIB) due to Schizophyllum commune who improved with itraconazole (ITCZ) administration and relapsed after discontinuation of the drug. She improved again after readministration of ITCZ, and MIB has not recurred. This patient was not suffering from asthma and has been well without steroid administration. Reports of respiratory disorders due to S. commune have been increasing, and cases of allergic bronchopulmonary mycosis (ABPM), fungus ball, lung abscess, and pneumonia have been reported. Including this report, 12 cases of ABPM and MIB due to S. commune have been reported by Japanese authors. Treatment in these 12 cases included anti-fungal agent in 6, single steroid therapy in 3, combination therapy in 2, and bronchial toilet in 1 case. S. commune is not well recognized; however, one should suspect this fungus to be the causative pathogen when Aspergillus species are not detected or anti-Aspergillus antibody is negative.
Download full-text PDF |
Source |
|---|
Publication Analysis
Top Keywords
Similar Publications
Tuberculosis Masquerading Foreign Body in Children.
Int J Mycobacteriol
October 2024
Faculty of Dentistry, Medical Sciences, Islamic Azad University, Tehran, Iran.
Foreign body aspiration (FBA) is a common issue in children, particularly boys, and can be life-threatening. Early removal of the foreign body (FB) leads to recovery, but delayed diagnosis may cause complications such as granuloma, recurrent pneumonia, and atelectasis. This condition often results from a child's curiosity, with factors such as inadequate swallowing reflex and activity during eating contributing to the risk.
View Article and Find Full Text PDFUnusual Airway Foreign Bodies in Children: Demographics and Management.
J Indian Assoc Pediatr Surg
August 2024
Department of Pediatric Surgery, St. Johns Medical College and Hospital, Bengaluru, Karnataka, India.
Article Synopsis
- The study aimed to analyze the demographics and management of unusual airway foreign bodies (UAFBs) in children over a 20-year period.
- Out of 531 children who underwent bronchoscopic removal, 74 had UAFBs like pen caps, whistles, and glass bangles, with most cases involving children under 5 and presenting symptoms like cough and respiratory distress.
- The findings indicated that UAFBs in children are relatively common, primarily affecting boys, with the left bronchus being the most frequent site of impaction and bronchoscopic retrieval showing a favorable outcome despite some challenges.
"Chronic bronchial foreign body managed by lobectomy and latissimus dorsi flap: case report".
Int J Surg Case Rep
September 2024
Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai 400022, Maharashtra, India.
Introduction And Importance: Foreign body aspiration is a common occurrence, with severe outcomes seen in all age groups. It can present like any chronic respiratory disease with a wide spectrum of misleading symptoms, resulting in misdiagnosis and delays in appropriate treatment.
Case Presentation: Here we present a case of a 11 year boy diagnosed with occult foreign body aspiration, chronically impacted in the left secondary bronchus, presented with bronchiectasis and multiple failed attempts at bronchoscopic retrieval.
A Foreign Body Aspiration Leading to Pneumothorax: A Case of Airway Emergency.
Cureus
March 2024
Otolaryngology - Head and Neck Surgery, Taiping Hospital, Taiping, MYS.
Foreign body (FB) aspiration is a matter that should not be taken lightly. The presence of a foreign object might lead to hazardous complications, particularly in the pediatric population. These complications depend on the type and location of the aspirated object as the tracheobronchial tree has a very small diameter, and foreign bodies become stuck in the upper airways of children, causing stridor and sudden difficulty in breathing.
View Article and Find Full Text PDFAn Unusual Case of Severe Atelectasis: Mucus Impaction in a Young Obese Female.
Cureus
December 2023
Internal Medicine, The Brooklyn Hospital Center, New York, USA.
Atelectasis is defined as the the loss of lung volume due to collapse of lung tissue and is usually associated with symptoms of respiratory distress, including increased work of breathing and increased oxygen requirements. It is common in hospitalized patients with limited mobility and in patients with underlying lung conditions. Treatment is largely supportive when no underlying condition is identified.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!