Diagnosis and clinical management of Exophiala dermatitidis pneumonia in a patient with anorexia nervosa: A case report
Tatsuya Yoshinouchi, Keiichi Yamamoto, M. Migita, Toshiro Yokoyama, Tomofumi Nakamura, Masao Matsuoka
Abstract
We report a patient with anorexia nervosa without bronchiectasis and cystic fibrosis who developed acute pneumonia caused by Exophiala dermatitidis (E. dermatitidis). The black fungus found in multiple sputum cultures was determined to be E. dermatitidis using mass spectrometry and identified using genetic analysis. Although the initiation of antifungal therapy was late, the pneumonia gradually improved with long-term treatment. This case highlights the need for early diagnosis and effective long-term treatment of the fungal etiologic agent.
Topics & Concepts
MedicinePneumoniaAnorexia nervosaSputumBronchiectasisVoriconazoleCystic fibrosisAnorexiaAntifungalDermatologyPathologyInternal medicineLungPsychiatryEating disordersTuberculosisAntifungal resistance and susceptibilityFungal Infections and StudiesNail Diseases and Treatments