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June 1966

Pulmonary Mycetoma Due to Allescheria boydii

Author Affiliations


From the Bacteriology Laboratory of the Department of Medicine and the Department of Pathology, Memorial Hospital for Cancer and Allied Diseases and the James Ewing Hospital, and the Cornell University Medical College, New York.

Arch Intern Med. 1966;117(6):748-751. doi:10.1001/archinte.1966.03870120012003

IN CERTAIN parts of the world, including the United States, Allescheria boydii and Monosporium apiosperum are different phases of the fungus 1 most frequently isolated from mycetomas of the extremities. This organism has also been described as causing otomycosis,2 septicemia,3 and meningitis.4 Three other cases of deep-seated allescheriasis have involved the respiratory tract. In 1955, Drouhet recorded a case of pulmonary mycetoma but gave no additional clinical details.5 In the same year, Creitz and Harris recovered the organism from the sputum of a patient treated for eight months with multiple antibiotics for chronic bronchitis and emphysema.6 The latter patient had bilateral upper lobe cavities which were later found to contain A boydii, almost certainly as a secondary invader.7 Travis et al recovered A boydii repeatedly from the sputum of a patient with sarcoidosis and bilateral upper lobe cavities who had been treated with antibiotics and adrenal glucocorticoids. At autopsy, the

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