A patient with pulmonary sarcoidosis had evaluation of hemoptysis. A CT scan of the chest showed bilateral upper lobe cavities and five separate mycetomas with air-crescent signs. Bronchial washings were positive on stains for fungal elements, and all cultures grew Pseudallescheria boydii. We have not seen a previous report of multiple fungus balls due to P boydii demonstrated by chest CT.
B A Chaudhary, D McAlexander, T el Gammal, W A Speir. Multiple mycetomas due to Pseudallescheria boydii. Southern medical journal. 1987 May;80(5):653-4
PMID: 3576275
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