Abstract
A case of disseminated petriellidiosis is presented. This complication occurred in a patient with refractory acute lymphoblastic leukaemia, who was receiving repeated courses of cytotoxic drugs, antibiotics and prolonged corticosteroid therapy. The diagnosis of infection by Petriellidium boydii was established by pathological and microbiological studies of a specimen obtained at open lung biopsy. The portal of entry was probably through the lung spreading later via the blood stream to the brain, thyroid and kidneys. The present case once again emphasises the importance of specific microbiological identification in definitive diagnosis. To our knowledge, only three cases of disseminated petriellidiosis have been reported and this case appears to be the first case with renal involvement.
Full text
PDF




Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Alture-Werber E., Edberg S. C., Singer J. M. Pulmonary infection with Allescheria boydii. Am J Clin Pathol. 1976 Dec;66(6):1019–1024. doi: 10.1093/ajcp/66.6.1019. [DOI] [PubMed] [Google Scholar]
- Arnett J. C., Jr, Hatch H. B., Jr Pulmonary allescheriasis. Report of a case and review of the literature. Arch Intern Med. 1975 Sep;135(9):1250–1253. doi: 10.1001/archinte.135.9.1250. [DOI] [PubMed] [Google Scholar]
- Bakerspigel A., Wood T., Burke S. Pulmonary allescheriasis: report of a case from Ontario, Canada. Am J Clin Pathol. 1977 Aug;68(2):299–303. doi: 10.1093/ajcp/68.2.299. [DOI] [PubMed] [Google Scholar]
- Belitsos N. J., Merz W. G., Bowersox D. W., Hutchins G. M. Allescheria boydii mycetoma complicating pulmonary sarcoid. Johns Hopkins Med J. 1974 Oct;135(4):259–267. [PubMed] [Google Scholar]
- Bell W. E., Myers M. G. Allescheria (Petriellidium) boydii brain abscess in a child with leukemia. Arch Neurol. 1978 Jun;35(6):386–388. doi: 10.1001/archneur.1978.00500300060011. [DOI] [PubMed] [Google Scholar]
- Bodey G. P., Bolivar R., Fainstein V. Infectious complications in leukemic patients. Semin Hematol. 1982 Jul;19(3):193–226. [PubMed] [Google Scholar]
- CREITZ J., HARRIS H. W. Isolation of Allescheria boydii from sputum. Am Rev Tuberc. 1955 Jan;71(1):126–130. doi: 10.1164/artpd.1955.71.1.126. [DOI] [PubMed] [Google Scholar]
- Forno L. S., Billingham M. E. Allescheria boydii infection of the brain. J Pathol. 1972 Mar;106(3):195–198. doi: 10.1002/path.1711060307. [DOI] [PubMed] [Google Scholar]
- GREEN W. O., Jr, ADAMS T. E. MYCETOMA IN THE UNITED STATES; A REVIEW AND REPORT OF SEVEN ADDITIONAL CASES. Am J Clin Pathol. 1964 Jul;42:75–91. doi: 10.1093/ajcp/42.1.75. [DOI] [PubMed] [Google Scholar]
- Gluckman S. J., Ries K., Abrutyn E. Allescheria (Petriellidium) boydii sinusitis in a compromised host. J Clin Microbiol. 1977 Apr;5(4):481–484. doi: 10.1128/jcm.5.4.481-484.1977. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hainer J. W., Ostrow J. H., Mackenzie D. W. Pulmonary monosporosis: report of a case with precipitating antibody. Chest. 1974 Nov;66(5):601–603. doi: 10.1378/chest.66.5.601. [DOI] [PubMed] [Google Scholar]
- Hecht R., Montgomerie J. Z. Maxillary sinus infection with Allescheria boydii (Petriellidium boydii). Johns Hopkins Med J. 1978 Apr;142(4):107–109. [PubMed] [Google Scholar]
- Kathuria S. K., Rippon J. Non-aspergillus aspergilloma. Am J Clin Pathol. 1982 Dec;78(6):870–873. doi: 10.1093/ajcp/78.6.870. [DOI] [PubMed] [Google Scholar]
- Louria D. B., Lieberman P. H., Collins H. S., Blevins A. Pulmonary mycetoma due to Allescheria boydii. Arch Intern Med. 1966 Jun;117(6):748–751. [PubMed] [Google Scholar]
- Lutwick L. I., Galgiani J. N., Johnson R. H., Stevens D. A. Visceral fungal infections due to Petriellidium boydii (allescheria boydii). In vitro drug sensitivity studies. Am J Med. 1976 Nov;61(5):632–640. doi: 10.1016/0002-9343(76)90141-8. [DOI] [PubMed] [Google Scholar]
- MEYER E., HERROLD R. D. Allescheria boydii isolated from a patient with chronic prostatitis. Am J Clin Pathol. 1961 Feb;35:155–159. doi: 10.1093/ajcp/35.2.155. [DOI] [PubMed] [Google Scholar]
- Reddy P. C., Christianson C. S., Gorelick D. F., Larsh H. W. Pulmonary monosporosis: an uncommon pulmonary mycotic infection. Thorax. 1969 Nov;24(6):722–728. doi: 10.1136/thx.24.6.722. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Rippon J. W., Carmichael J. W. Petriellidiosis (allescheriosis): four unusual cases and review of literature. Mycopathologia. 1976 Jun 18;58(2):117–124. doi: 10.1007/BF00707183. [DOI] [PubMed] [Google Scholar]
- Rosen F., Deck J. H., Rewcastle N. B. Allescheria boydii--unique systemic dissemination to thyroid and brain. Can Med Assoc J. 1965 Nov 20;93(21):1125–1127. [PMC free article] [PubMed] [Google Scholar]
- Rosen P., Adelson H. T., Burleigh E. Bronchiectasis complicated by the presence of Monosporium apiospermum and Aspergillus fumigatus. Am J Clin Pathol. 1969 Aug;52(2):182–187. doi: 10.1093/ajcp/52.2.182. [DOI] [PubMed] [Google Scholar]
- SCHARYJ M., LEVENE N., GORDON H. Primary pulmonary infection with Monosporium apiospermum. Report of a case with clinical, pathologic and mycologic data. J Infect Dis. 1960 Mar-Apr;106:141–148. doi: 10.1093/infdis/106.2.141. [DOI] [PubMed] [Google Scholar]
- Selby R. Pachymeningitis secondary to Allescheria boydii. Case report. J Neurosurg. 1972 Feb;36(2):225–227. doi: 10.3171/jns.1972.36.2.0225. [DOI] [PubMed] [Google Scholar]
- TONG J. L., VALENTINE E. H., DURRANCE J. R., WILSON G. M., FISCHER D. A. Pulmonary infection with Allescheria boydii; report of a fatal case. Am Rev Tuberc. 1958 Oct;78(4):604–609. doi: 10.1164/artpd.1958.78.4.604. [DOI] [PubMed] [Google Scholar]
- TRAVIS R. E., ULRICH E. W., PHILLIPS S. Pulmonary allescheriasis. Ann Intern Med. 1961 Jan;54:141–152. doi: 10.7326/0003-4819-54-1-141. [DOI] [PubMed] [Google Scholar]
- Walker D. H., Adamec T., Krigman M. Disseminated petriellidosis (allescheriosis). Arch Pathol Lab Med. 1978 Mar;102(3):158–160. [PubMed] [Google Scholar]
- Winston D. J., Jordan M. C., Rhodes J. Allescheria boydii infections in the immunosuppressed host. Am J Med. 1977 Nov;63(5):830–835. doi: 10.1016/0002-9343(77)90170-x. [DOI] [PubMed] [Google Scholar]