Recurrent Pulmonary Infection Caused by Schizophyllum commune: A Case Report and Management of Inflammation

ABSTRACT This case report documents a recurrent pulmonary infection caused by Schizophyllum commune in a 59‐year‐old woman with repeated admissions for cough and sputum production. Using mNGS on BALF, S. commune sequences were identified. The patient's clinical symptoms, lab results, and imagin...

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Main Authors: Shuai Ren, Ping Xu, Manyu Dai, Ruifang Chen, Haicheng Tang
Format: Article
Language:English
Published: Wiley 2025-07-01
Series:Respirology Case Reports
Subjects:
Online Access:https://doi.org/10.1002/rcr2.70239
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author Shuai Ren
Ping Xu
Manyu Dai
Ruifang Chen
Haicheng Tang
author_facet Shuai Ren
Ping Xu
Manyu Dai
Ruifang Chen
Haicheng Tang
author_sort Shuai Ren
collection DOAJ
description ABSTRACT This case report documents a recurrent pulmonary infection caused by Schizophyllum commune in a 59‐year‐old woman with repeated admissions for cough and sputum production. Using mNGS on BALF, S. commune sequences were identified. The patient's clinical symptoms, lab results, and imaging features aligned with six criteria from Asano's assessment table, confirming ABPM. During treatment, bronchoscopic airway clearance, antifungal agents, and inhaled corticosteroids proved effective. The case highlights mNGS's role in diagnosing rare fungal infections and the need for individualised antifungal therapy. Azithromycin's potential anti‐inflammatory effects were noted, though its specific application in ABPM requires further study. Caution is advised in future use, with more research needed on its mechanism in such cases.
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institution Kabale University
issn 2051-3380
language English
publishDate 2025-07-01
publisher Wiley
record_format Article
series Respirology Case Reports
spelling doaj-art-3d69a1c15fae4e9bb86e5a8ad09bd1302025-08-20T03:58:40ZengWileyRespirology Case Reports2051-33802025-07-01137n/an/a10.1002/rcr2.70239Recurrent Pulmonary Infection Caused by Schizophyllum commune: A Case Report and Management of InflammationShuai Ren0Ping Xu1Manyu Dai2Ruifang Chen3Haicheng Tang4Department of Pulmonology Shanghai Public Health Clinical Center Shanghai ChinaDepartment of Pulmonology Shanghai Public Health Clinical Center Shanghai ChinaDepartment of Cardiology The Second Affiliated Hospital of Bengbu Medical College Bengbu ChinaDepartment of Pulmonology Shanghai Public Health Clinical Center Shanghai ChinaDepartment of Pulmonology Shanghai Public Health Clinical Center Shanghai ChinaABSTRACT This case report documents a recurrent pulmonary infection caused by Schizophyllum commune in a 59‐year‐old woman with repeated admissions for cough and sputum production. Using mNGS on BALF, S. commune sequences were identified. The patient's clinical symptoms, lab results, and imaging features aligned with six criteria from Asano's assessment table, confirming ABPM. During treatment, bronchoscopic airway clearance, antifungal agents, and inhaled corticosteroids proved effective. The case highlights mNGS's role in diagnosing rare fungal infections and the need for individualised antifungal therapy. Azithromycin's potential anti‐inflammatory effects were noted, though its specific application in ABPM requires further study. Caution is advised in future use, with more research needed on its mechanism in such cases.https://doi.org/10.1002/rcr2.70239airway clearanceallergic bronchopulmonary mycosisazithromycinglucocorticoidsSchizophyllum communevoriconazole
spellingShingle Shuai Ren
Ping Xu
Manyu Dai
Ruifang Chen
Haicheng Tang
Recurrent Pulmonary Infection Caused by Schizophyllum commune: A Case Report and Management of Inflammation
Respirology Case Reports
airway clearance
allergic bronchopulmonary mycosis
azithromycin
glucocorticoids
Schizophyllum commune
voriconazole
title Recurrent Pulmonary Infection Caused by Schizophyllum commune: A Case Report and Management of Inflammation
title_full Recurrent Pulmonary Infection Caused by Schizophyllum commune: A Case Report and Management of Inflammation
title_fullStr Recurrent Pulmonary Infection Caused by Schizophyllum commune: A Case Report and Management of Inflammation
title_full_unstemmed Recurrent Pulmonary Infection Caused by Schizophyllum commune: A Case Report and Management of Inflammation
title_short Recurrent Pulmonary Infection Caused by Schizophyllum commune: A Case Report and Management of Inflammation
title_sort recurrent pulmonary infection caused by schizophyllum commune a case report and management of inflammation
topic airway clearance
allergic bronchopulmonary mycosis
azithromycin
glucocorticoids
Schizophyllum commune
voriconazole
url https://doi.org/10.1002/rcr2.70239
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