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Back pain associated with endobronchial mucus impaction due to Bipolaris australiensis colonization representing atypical Allergic Bronchopulmonary Mycosis.
- Source :
-
Medical mycology [Med Mycol] 2008 Sep; Vol. 46 (6), pp. 589-94. - Publication Year :
- 2008
-
Abstract
- A 40-year-old white male had a two-year history of right sided upper back pain without dyspnea or coughing. His past history was significant for allergic rhinitis and asthma. Conservative outpatient management of the back pain including medications, rest and physical therapy were ineffective. CT scan of the chest revealed a mass in the lower lobe of the right lung. Bronchial biopsy and lavage revealed eosinophilic and neutrophilic inflammation without tissue invasion. A pure culture of Bipolaris australiensis was confirmed by DNA typing. Hematological, serological and radiological studies were not compatible with Allergic Bronchopulmonary Mycosis (ABPM), fungus ball, hypersensitivity pneumonitis or invasive fungal infection. However, the mucus plugging may have represented an atypical localized form of ABPM. Resolution of the endobronchial mucus impaction occurred after three bronchoscopies with vigorous suction, anti fungal therapy and prednisone.
- Subjects :
- Adult
Ascomycota classification
Ascomycota genetics
Ascomycota isolation & purification
Back Pain therapy
Humans
Lung Diseases, Fungal therapy
Male
Phylogeny
Ascomycota growth & development
Back Pain microbiology
Bronchi microbiology
Lung Diseases, Fungal complications
Lung Diseases, Fungal microbiology
Mucus microbiology
Subjects
Details
- Language :
- English
- ISSN :
- 1369-3786
- Volume :
- 46
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Medical mycology
- Publication Type :
- Academic Journal
- Accession number :
- 19180752
- Full Text :
- https://doi.org/10.1080/13693780801968563