Phycomycosis: A cause of bronchial obstruction

James F. Donohue, Ronald J. Scott, David H. Walker, Philip A. Bromberg

Research output: Contribution to journalArticle

17 Scopus citations

Abstract

A patient with diabetes mellitus presented with an obstructing mycetoma in the right bronchus intermedius due to Phycomycetes. Review of the literature revealed eight prior case reports of patients with prominent endobronchial disease attributable to phycomycosis. Indolent, obstructing lesions in large bronchi were noted in diabetics. The clinical illness differed from the fulminant fungal pneumonia noted in leukemics but was also lethal because of localized complications such as erosion into the pulmonary artery. The differential diagnosis included mucoid impaction, bronchocentric granulomatosis, and mycotic bronchitis. Surgical resection appears to be the appropriate therapy for well localized bronchial lesions.

Original languageEnglish (US)
Pages (from-to)734-736
Number of pages3
JournalSouthern medical journal
Volume73
Issue number6
DOIs
StatePublished - Jun 1980
Externally publishedYes

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ASJC Scopus subject areas

  • Medicine(all)

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