Pulmonary Chromomycosis Caused by <i>Exophiala phaeomuriformis</i> in a Patient with a Typical Pulmonary Carcinoid Tumor

Exophiala spp. cause dematiaceous mycoses, but rarely infect human lungs. A 61-year-old man presented with bloody black sputum. Chest computed tomography showed consolidation in the truncus intermedius and peripheral bronchus, and a mass shadow in the S<sub>7</sub> region of the right lung. Bronchoscopy revealed a protruding black lesion in the bronchial orifice of the truncus intermedius, and Exophiala phaeomuriformis was isolated. The consolidation resolved spontaneously, and the residual tumor was diagnosed as a carcinoid tumor. This case highlights the fact that pulmonary chromomycosis may occur in immunocompetent individuals without any preexisting structural changes in the airways.

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Journal
Internal Medicine
Published
2025-05-07
DOI
https://doi.org/10.2169/internalmedicine.5271-25
Primary Topic
Infectious Diseases and Mycology
Type
article
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Pulmonary Chromomycosis Caused by Exophiala phaeomuriformis in a Patient with a Typical Pulmonary Carcinoid Tumor

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Pulmonary Chromomycosis Caused by Exophiala phaeomuriformis in a Patient with a Typical Pulmonary Carcinoid Tumor

Yuki Yamamoto, Masataka Matsumoto, Takuya Naito, Masahiro Katsurada, Naoyuki Kojima, Yoshihiro Nishimura, Kiyonobu Takatsuki, Yuko Kono, Shun Yamazaki, Kazumi Kaneshiro, Maho Morikawa, Teruaki Hyakudo, Saki Ito
article en

Abstract

Exophiala spp. cause dematiaceous mycoses, but rarely infect human lungs. A 61-year-old man presented with bloody black sputum. Chest computed tomography showed consolidation in the truncus intermedius and peripheral bronchus, and a mass shadow in the S<sub>7</sub> region of the right lung. Bronchoscopy revealed a protruding black lesion in the bronchial orifice of the truncus intermedius, and Exophiala phaeomuriformis was isolated. The consolidation resolved spontaneously, and the residual tumor was diagnosed as a carcinoid tumor. This case highlights the fact that pulmonary chromomycosis may occur in immunocompetent individuals without any preexisting structural changes in the airways.

Internal MedicineVol. 64(22)
Tokyo-Kita Medical Center (JP)
Openalex Percentile: Top 89%
Infectious Diseases and Mycology
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