Two Operated Cases of Pulmonary Monosporiosis

Monosporium apiosperum (M. ap.) causes most commonly the lesion of skin and subcutaneous tissues of the foot and become clinically one of the causes of madura foot. Primary infection of this fungus in lung is extremely rare. Two cases of pulmonary Monosporiosis were found in the resected lungs posto...

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Published inThe Japanese journal of thoracic diseases Vol. 13; no. 4; pp. 220 - 224
Main Authors Suzuki, Fuminao, Matsui, Koichi, Moriyama, Ryutaro, Yamashita, Hideaki
Format Journal Article
LanguageEnglish
Japanese
Published The Japanese Respiratory Society 25.04.1975
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ISSN0301-1542
1883-471X
DOI10.11389/jjrs1963.13.220

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Abstract Monosporium apiosperum (M. ap.) causes most commonly the lesion of skin and subcutaneous tissues of the foot and become clinically one of the causes of madura foot. Primary infection of this fungus in lung is extremely rare. Two cases of pulmonary Monosporiosis were found in the resected lungs postoperatively. The first case was reported in Japan J. Med. Mycol. in 1966 by the authors and Uetsuka and the second was found in 1972. The first case was a 31-year-old farmer's housewife with complaints of frequent cough, spu tum and rapid onset of pulmonary symptoms. Progressive inflammation and marked saccular bronchiectasis with disseminated granules of M. ap. were observed from the distal end to the proximal portion of B5 in the resected left lung. The second case was a 49-year-old single female with complaints of occasional bloody expectoration for the past 2 decades. The chest radiogram had revealed almost unchanged fungus ball 2.0cm in diameter in a cavity. Bronchiectatic cavity containing fungus ball of M. ap. was found in distal branch of B2a of the resected right upper lobe. Histological findings of the cases were similar to those of aspergillosis. For the detection of M. ap. from the foci, egg-media was more excellent than Sabouraud's agar media.
AbstractList Monosporium apiosperum (M. ap.) causes most commonly the lesion of skin and subcutaneous tissues of the foot and become clinically one of the causes of madura foot. Primary infection of this fungus in lung is extremely rare. Two cases of pulmonary Monosporiosis were found in the resected lungs postoperatively. The first case was reported in Japan J. Med. Mycol. in 1966 by the authors and Uetsuka and the second was found in 1972. The first case was a 31-year-old farmer's housewife with complaints of frequent cough, spu tum and rapid onset of pulmonary symptoms. Progressive inflammation and marked saccular bronchiectasis with disseminated granules of M. ap. were observed from the distal end to the proximal portion of B5 in the resected left lung. The second case was a 49-year-old single female with complaints of occasional bloody expectoration for the past 2 decades. The chest radiogram had revealed almost unchanged fungus ball 2.0cm in diameter in a cavity. Bronchiectatic cavity containing fungus ball of M. ap. was found in distal branch of B2a of the resected right upper lobe. Histological findings of the cases were similar to those of aspergillosis. For the detection of M. ap. from the foci, egg-media was more excellent than Sabouraud's agar media.
Author Moriyama, Ryutaro
Yamashita, Hideaki
Matsui, Koichi
Suzuki, Fuminao
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  fullname: Matsui, Koichi
  organization: Shizuoka Frefectural Fujimi Hospital
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  fullname: Moriyama, Ryutaro
  organization: Shizuoka Frefectural Fujimi Hospital
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  fullname: Yamashita, Hideaki
  organization: Shizuoka Frefectural Fujimi Hospital
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References 1) 上塚昭, 成田睦, 浜島健治, 岡崎伸夫, 岩田和夫, 小林宏行, 鈴木敏弘, 北本治, 山下英秋, 松井晃一, 荒井他嘉司, 倉田浩: 切除肺より Monosporium apiospermum を分離した1例について, 真菌誌, 7: 270, 1966.
5) Moss, E. S. & Mcquown, A. L.: Atlas of medical mycology, Williams & Wilkins Co., Baltimore, 1969, p. 45.
7) Scharyj, M., Levene, N. & Gordon, H.: Primary pulmonary infection with Monosporium apiospermum, J. Infect. Dis., 106: 141, 1960.
3) 口腔細菌学談話会編: 歯科微生物学, 医歯薬出版, 東京, 1963.
9) 非結核性胸部疾患図譜, 10: 結核予防会, 東京, 1967, 70頁.
4) 日本皮膚科全書, 10: 金原出版, 東京, 1956, 50頁
8) 山下英秋, 岩間定夫, 松山靖, 平間仁, 成富鷹穂, 鈴木文直, 吉江達子, 松井晃一, 村松茂: 切除肺からみた肺アスペルギルス症の再検討, 日本胸部臨床, 29: 892, 1970.
2) Emmons, C. W.: Allescheria boydii and Monosporium, apiospermum, Mycologia, 36: 188, 1944.
6) Tong, J. L., Valentine, E. H., Durrance, J. R., Wilson, G. M. & Fischer, D. A.: Pulmonary infection with Allescheria boydii, Am. Rev. Tuberc. 78: 604, 1958.
References_xml – reference: 8) 山下英秋, 岩間定夫, 松山靖, 平間仁, 成富鷹穂, 鈴木文直, 吉江達子, 松井晃一, 村松茂: 切除肺からみた肺アスペルギルス症の再検討, 日本胸部臨床, 29: 892, 1970.
– reference: 9) 非結核性胸部疾患図譜, 10: 結核予防会, 東京, 1967, 70頁.
– reference: 6) Tong, J. L., Valentine, E. H., Durrance, J. R., Wilson, G. M. & Fischer, D. A.: Pulmonary infection with Allescheria boydii, Am. Rev. Tuberc. 78: 604, 1958.
– reference: 5) Moss, E. S. & Mcquown, A. L.: Atlas of medical mycology, Williams & Wilkins Co., Baltimore, 1969, p. 45.
– reference: 7) Scharyj, M., Levene, N. & Gordon, H.: Primary pulmonary infection with Monosporium apiospermum, J. Infect. Dis., 106: 141, 1960.
– reference: 3) 口腔細菌学談話会編: 歯科微生物学, 医歯薬出版, 東京, 1963.
– reference: 4) 日本皮膚科全書, 10: 金原出版, 東京, 1956, 50頁
– reference: 1) 上塚昭, 成田睦, 浜島健治, 岡崎伸夫, 岩田和夫, 小林宏行, 鈴木敏弘, 北本治, 山下英秋, 松井晃一, 荒井他嘉司, 倉田浩: 切除肺より Monosporium apiospermum を分離した1例について, 真菌誌, 7: 270, 1966.
– reference: 2) Emmons, C. W.: Allescheria boydii and Monosporium, apiospermum, Mycologia, 36: 188, 1944.
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Title Two Operated Cases of Pulmonary Monosporiosis
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