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DONALD B. LOURIA, MD; PHILIP H. LIEBERMAN, MD; HARVEY S. COLLINS, MD; ANNE BLEVINS, RN

Arch Intern Med. 1966;117(6):748-751.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

IN CERTAIN parts of the world, including the United States, Allescheria boydii and Monosporium apiosperum are different phases of the fungus ¹ most frequently isolated from mycetomas of the extremities. This organism has also been described as causing otomycosis,² septicemia,³ and meningitis.⁴ Three other cases of deep-seated allescheriasis have involved the respiratory tract. In 1955, Drouhet recorded a case of pulmonary mycetoma but gave no additional clinical details.⁵ In the same year, Creitz and Harris recovered the organism from the sputum of a patient treated for eight months with multiple antibiotics for chronic bronchitis and emphysema.⁶ The latter patient had bilateral upper lobe cavities which were later found to contain A boydii, almost certainly as a secondary invader.⁷ Travis et al recovered A boydii repeatedly from the sputum of a patient with sarcoidosis and bilateral upper lobe cavities who had been treated with antibiotics and adrenal glucocorticoids. At autopsy, the . . . [Full Text PDF of this Article]

Author Affiliations
NEW YORK

From the Bacteriology Laboratory of the Department of Medicine and the Department of Pathology, Memorial Hospital for Cancer and Allied Diseases and the James Ewing Hospital, and the Cornell University Medical College, New York.

Footnotes
Received for publication Dec 10, 1965; accepted Feb 4, 1966.

Reprint requests to Bellevue Hospital, First Ave & 26th St, New York, NY 10016 (Dr. Louria).

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