Journal
CHEST
Volume 119, Issue 2, Pages 651-653Publisher
AMER COLL CHEST PHYSICIANS
DOI: 10.1378/chest.119.2.651
Keywords
amphotericin B; Dactylaria; immunosuppression; itraconazole; lung transplantation
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Dematiaceous fungi such as Dactylaria gallopava are becoming more prevalent in transplant patients, with 50% of outcomes being fatal. In this report, we describe a 32-year-old woman who presented with swelling in the right shoulder area and right lateral neck. On further investigation with a CT scan, a fluid collection in the shoulder was identified, drained, and subsequently grew D gallopava. We report the successful treatment of an invasive Dactylaria infection in a lung transplant patient predominantly by medical chemotherapy, although surgical incision and drainage was performed on one of the fungal lesions.
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