A necrotic lung ball caused by co-infection with Candida and Streptococcus pneumoniae
T Yokoyama, J Sasaki, K Matsumoto… - Infection and Drug …, 2011 - Taylor & Francis
T Yokoyama, J Sasaki, K Matsumoto, C Koga, Y Ito, Y Kaku, M Tajiri, H Natori, M Hirokawa
Infection and Drug Resistance, 2011•Taylor & FrancisIntroduction A necrotic lung ball is a rare radiological feature that is sometimes seen in
cases of pulmonary aspergillosis. This paper reports a rare occurrence of a necrotic lung
ball in a young male caused by Candida and Streptococcus pneumoniae. Case report A 28-
year-old male with pulmonary candidiasis was found to have a lung ball on computed
tomography (CT) of the chest. The patient was treated with β-lactams and itraconazole and
then fluconazole, which improved his condition (as found on a following chest CT scan) and …
cases of pulmonary aspergillosis. This paper reports a rare occurrence of a necrotic lung
ball in a young male caused by Candida and Streptococcus pneumoniae. Case report A 28-
year-old male with pulmonary candidiasis was found to have a lung ball on computed
tomography (CT) of the chest. The patient was treated with β-lactams and itraconazole and
then fluconazole, which improved his condition (as found on a following chest CT scan) and …
Introduction
A necrotic lung ball is a rare radiological feature that is sometimes seen in cases of pulmonary aspergillosis. This paper reports a rare occurrence of a necrotic lung ball in a young male caused by Candida and Streptococcus pneumoniae.
Case report
A 28-year-old male with pulmonary candidiasis was found to have a lung ball on computed tomography (CT) of the chest. The patient was treated with β-lactams and itraconazole and then fluconazole, which improved his condition (as found on a following chest CT scan) and serum β-D-glucan level. The necrotic lung ball was suspected to have been caused by coinfection with Candida and S. pneumoniae.
Conclusion
A necrotic lung ball can result from infection by Candida and/or S. pneumoniae, indicating that physicians should be aware that patients may still have a fungal infection of the lungs that could result in a lung ball, even when they do not have either Aspergillus antibodies or antigens.
Taylor & Francis Online