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Vol. 66, No. 1, 1999
Issue release date: January–February 1999
Respiration 1999;66:85–87
(DOI:10.1159/000029345)

Lung Abscess Caused by Paecilomyces lilacinus

Ono N. · Sato K. · Yokomise H. · Tamura K.
Department of Thoracic Surgery, Japanese Red Cross Society, Wakayama Medical Center, Wakayama, Japan
email Corresponding Author

Abstract

We report the case of a 57-year-old man who was referred to our department for further investigation of an abnormal chest shadow. Radiography on admission demonstrated a coin lesion in the right hilum. To make a final diagnosis, right middle lobectomy was performed and the mass was revealed to be a fungal abscess. Further examination confirmed that the fungus was Paecilomyces lilacinus. This is the first reported case of lung abscess caused by P. lilacinus in an otherwise healthy person.


 goto top of outline Key Words

  • Paecilomyces lilacinus
  • Abscess, fungal

 goto top of outline Abstract

We report the case of a 57-year-old man who was referred to our department for further investigation of an abnormal chest shadow. Radiography on admission demonstrated a coin lesion in the right hilum. To make a final diagnosis, right middle lobectomy was performed and the mass was revealed to be a fungal abscess. Further examination confirmed that the fungus was Paecilomyces lilacinus. This is the first reported case of lung abscess caused by P. lilacinus in an otherwise healthy person.


 goto top of outline References
  1. Seral R: Candida and Aspergillus infections in immunocompromised patients: An overview. Res Infect Dis 1991;13:487–492.
  2. Williamson PR, Kwon-Chung KJ, Gallin JI: Successful treatment of Paecilomyces varioti infection in a patient with chronic granulomatous disease and a review of Paecilomyces species infections. Clin Infect Dis 1992;14:1023–1026.

    External Resources

  3. Byrd RPJ, Roy TM, Fields CL, Lynch JA: Paecilomyces varioti pneumonia in a patient with diabetes mellitus. J Diabetes Complications 1992;6:150–153.
  4. Dharmasena FMC, Davies GSR, Catovsky D: Paecilomyces varioti pneumonia complicating hairy cell leukaemia. Br Med J 1985;290:967–968.
  5. Orth B, Frei R, Itin PH, Rinaldi MG, Speck B, Gratwohl A, Widmer AF: Outbreak of invasive mycosis caused by Paecilomyces lilacinus from a contaminated skin lotion. Ann Intern Med 1996;125:799–806.
  6. Fenech FF, Mallia CP: Pleural effusion caused by Penicillium lilacinum. Br J Dis Chest 1972;66:284–290.

    External Resources

  7. Castro LG, Salebian A, Sotto MN: Hyalohyphomycosis by Paecilomcyes lilacinus in a renal transplant patient and a review of human Paecilomyces species infections. J Med Vet Mycol 1990;28:15–26.

    External Resources


 goto top of outline Author Contacts

Nobuhiro Ono, MD
Department of Thoracic Surgery
Nagahama City Hospital
313 O-inui cho, Nagahama, Shiga 526-8580 (Japan)
Tel. +81 749 68 2300, Fax +81 749 65 1259


 goto top of outline Article Information

Received: Received: December 29, 1997
Accepted after revision: April 21, 1998
Number of Print Pages : 3
Number of Figures : 2, Number of Tables : 0, Number of References : 7


 goto top of outline Publication Details

Respiration (International Review of Thoracic Diseases)
Founded 1944 as ‘Schweizerische Zeitschrift für Tuberkulose und Pneumonologie’ by E. Bachmann, M. Gilbert, F. Häberlin, W. Löffler, P. Steiner and E. Uehlinger, continued 1962–1967 as ‘Medicina Thoracalis’

Vol. 66, No. 1, Year 1999 (Cover Date: January-February 1999)

Journal Editor: C.T. Bolliger, Basel; H. Zerzog, Basel
ISSN: 0025–7931 (print), 1423–0356 (Online)

For additional information: http://www.karger.com/journals/res


Copyright / Drug Dosage / Disclaimer

Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher or, in the case of photocopying, direct payment of a specified fee to the Copyright Clearance Center.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in goverment regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.

Abstract

We report the case of a 57-year-old man who was referred to our department for further investigation of an abnormal chest shadow. Radiography on admission demonstrated a coin lesion in the right hilum. To make a final diagnosis, right middle lobectomy was performed and the mass was revealed to be a fungal abscess. Further examination confirmed that the fungus was Paecilomyces lilacinus. This is the first reported case of lung abscess caused by P. lilacinus in an otherwise healthy person.



 goto top of outline Author Contacts

Nobuhiro Ono, MD
Department of Thoracic Surgery
Nagahama City Hospital
313 O-inui cho, Nagahama, Shiga 526-8580 (Japan)
Tel. +81 749 68 2300, Fax +81 749 65 1259


 goto top of outline Article Information

Received: Received: December 29, 1997
Accepted after revision: April 21, 1998
Number of Print Pages : 3
Number of Figures : 2, Number of Tables : 0, Number of References : 7


 goto top of outline Publication Details

Respiration (International Review of Thoracic Diseases)
Founded 1944 as ‘Schweizerische Zeitschrift für Tuberkulose und Pneumonologie’ by E. Bachmann, M. Gilbert, F. Häberlin, W. Löffler, P. Steiner and E. Uehlinger, continued 1962–1967 as ‘Medicina Thoracalis’

Vol. 66, No. 1, Year 1999 (Cover Date: January-February 1999)

Journal Editor: C.T. Bolliger, Basel; H. Zerzog, Basel
ISSN: 0025–7931 (print), 1423–0356 (Online)

For additional information: http://www.karger.com/journals/res


Copyright / Drug Dosage

Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher or, in the case of photocopying, direct payment of a specified fee to the Copyright Clearance Center.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in goverment regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.

References

  1. Seral R: Candida and Aspergillus infections in immunocompromised patients: An overview. Res Infect Dis 1991;13:487–492.
  2. Williamson PR, Kwon-Chung KJ, Gallin JI: Successful treatment of Paecilomyces varioti infection in a patient with chronic granulomatous disease and a review of Paecilomyces species infections. Clin Infect Dis 1992;14:1023–1026.

    External Resources

  3. Byrd RPJ, Roy TM, Fields CL, Lynch JA: Paecilomyces varioti pneumonia in a patient with diabetes mellitus. J Diabetes Complications 1992;6:150–153.
  4. Dharmasena FMC, Davies GSR, Catovsky D: Paecilomyces varioti pneumonia complicating hairy cell leukaemia. Br Med J 1985;290:967–968.
  5. Orth B, Frei R, Itin PH, Rinaldi MG, Speck B, Gratwohl A, Widmer AF: Outbreak of invasive mycosis caused by Paecilomyces lilacinus from a contaminated skin lotion. Ann Intern Med 1996;125:799–806.
  6. Fenech FF, Mallia CP: Pleural effusion caused by Penicillium lilacinum. Br J Dis Chest 1972;66:284–290.

    External Resources

  7. Castro LG, Salebian A, Sotto MN: Hyalohyphomycosis by Paecilomcyes lilacinus in a renal transplant patient and a review of human Paecilomyces species infections. J Med Vet Mycol 1990;28:15–26.

    External Resources