Invasive candidiasis presenting multiple pulmonary cavitary lesions on chest computed tomography

Yuichiro Yasuda; Kazunori Tobino; Mina Asaji; Yoshikazu Yamaji; Kosuke Tsuruno

doi:10.1186/s40248-015-0009-0

Invasive candidiasis presenting multiple pulmonary cavitary lesions on chest computed tomography

Multidiscip Respir Med. 2015 Mar 20;10(1):11. doi: 10.1186/s40248-015-0009-0. eCollection 2015.

Authors

Yuichiro Yasuda¹, Kazunori Tobino², Mina Asaji¹, Yoshikazu Yamaji¹, Kosuke Tsuruno¹

Affiliations

¹ Department of Respiratory Medicine, Iizuka Hospital, 3-83 Yoshiomachi, Iizuka, Fukuoka, 820-0018 Japan.
² Department of Respiratory Medicine, Iizuka Hospital, 3-83 Yoshiomachi, Iizuka, Fukuoka, 820-0018 Japan ; Department of Respiratory Medicine, Juntendo University, School of Medicine, 2-1-1 Hongo, Tokyo, Bunkyo-Ku 113-8421 Japan.

Abstract

We herein report a case of invasive candidiasis presenting rare findings on chest computed tomography (CT). The chest CT scan showed multiple small cavitary lesions and nodules with surrounding ground-glass opacity, and also bilateral pleural effusion. Although this CT finding is thought as specific for pulmonary aspergillosis, two sets of blood culture specimens were drawn which yielded Candida albicans in our case. Antifungal therapy was started and the chest CT findings showed a remarkable improvement. To our knowledge, this is the first case report describing multiple pulmonary cavitary lesions in invasive candidiasis.

Keywords: Canididemia; Computed tomography; Invasive candidiasis; Pulmonary cavity.

Publication types

Case Reports