Invasive candidiasis presenting multiple pulmonary cavitary lesions on chest computed tomography

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

doi:10.4081/mrm.2015.287

Invasive candidiasis presenting multiple pulmonary cavitary lesions on chest computed tomography

Authors

Yuichiro Yasuda Department of Respiratory Medicine, Iizuka Hospital, Iizuka, Fukuoka
Kazunori Tobino Department of Respiratory Medicine, Iizuka Hospital, Iizuka, Fukuoka; Department of Respiratory Medicine, Juntendo University, School of Medicine, Tokyo
Mina Asaji Department of Respiratory Medicine, Iizuka Hospital, Iizuka, Fukuoka
Yoshikazu Yamaji Department of Respiratory Medicine, Iizuka Hospital, Iizuka, Fukuoka
Kosuke Tsuruno Department of Respiratory Medicine, Iizuka Hospital, Iizuka, Fukuoka

DOI: https://doi.org/10.4081/mrm.2015.287

Keywords:

Candidemia, Computed tomography, Invasive candidiasis, Pulmonary cavity

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.