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September 1975

Pulmonary Allescheriasis: Report of a Case and Review of the Literature

Author Affiliations

From the Department of Internal Medicine, Section on Pulmonary Diseases, Alton Ochsner Medical Foundation and Ochsner Clinic, New Orleans. Dr. Arnett is presently at the Golden Clinic and Memorial Hospital, Elkins, WVa.

Arch Intern Med. 1975;135(9):1250-1253. doi:10.1001/archinte.1975.00330090122014

A llescheria boydii is a true fungus, being best known as a common causative agent of Madura foot in North America.1,2 The fungus is a natural saprophyte that has been frequently isolated from the soil in various areas of the United States.3-9 Only eight cases of patients with pulmonary involvement have previously been reported in the literature.10-18 We report here the ninth case with a review of the literature.

PATIENT SUMMARY  A 59-year-old woman had had a left groin lymph node dissection at Ochsner Foundation Hospital for possible recurrence of a melanoma of the thigh. The original lesion had been removed by local excision 5% years previously. At the time of groin dissection, two of ten nodes were positive for melanoma. Chest roentgenograms at this time showed a nodule in the upper lobe of the right lung (Fig 1). Planigrams disclosed a cystic lesion approximately 2½ cm