Ishiguro Takashi, Takayanagi Noboru, Tokunaga Daidou, Kurashima Kazuyoshi, Matsushita Aya, Harasawa Keiji, Yoneda Koichiro, Tsuchiya Noriko, Yamaguchi Shozaburo, Miyahara Yousuke, Yano Ryozo, Saito Hiroo, Ubukata Mikio, Yanagisawa Tsutomu, Sugita Yutaka, Kawabata Yoshinori
Department of Respiratory Medicine, Saitama Cardiovascular and Respiratory Center, 1696 Itai Kumagaya City, Saitama, Japan.
Yale J Biol Med. 2007 Sep;80(3):105-11.
A 54-year-old woman was admitted for cough, sputum, and an abnormal chest X-ray shadow. Bronchoscopy showed mucoid impaction of the bronchi (MIB). Histopathologic evidence of mucous plugs was consistent with one component of allergic bronchopulmonary mycosis. Schizophyllum commune (S. commune) was identified. Two attempts at removal of the mucous plugs were unsuccessful. Itraconazole was then administered, and the mucous plugs disappeared. There are few reports of MIB due to S. commune; we herein report a case of MIB due to S. commune infection.
一名54岁女性因咳嗽、咳痰及胸部X线阴影异常入院。支气管镜检查显示支气管黏液嵌塞（MIB）。黏液栓的组织病理学证据与变应性支气管肺曲霉菌病的一个成分相符。鉴定出裂褶菌（S. commune）。两次尝试清除黏液栓均未成功。随后给予伊曲康唑治疗，黏液栓消失。关于由裂褶菌引起的MIB报道较少；我们在此报告一例由裂褶菌感染引起的MIB病例。
