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Multiple Lung Abscesses Due to Ochroconis gallopavum, a Dematiaceous Fungus, in a Nonimmunocompromised Wood Pulp Worker*

John A. Odell, MB, ChB; Salvador Alvarez, MD; Donald G. Cvitkovich, MD, FCCP; Denis A. Cortese, MD, FCCP; Barbara L. McComb, MD
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*From the Section of Cardiovascular/Thoracic Surgery (Dr. Odell), the Division of Infectious Diseases (Dr. Alvarez), the Division of Pulmonary Medicine (Dr. Cortese), and the Department of Diagnostic Radiology (Dr. McComb), Mayo Clinic Jacksonville, Jacksonville; and Pulmonary Associates of Bay County (Dr. Cvitkovich), Panama City, FL.

Correspondence to: John A. Odell, MB, ChB, Mayo Clinic Jacksonville, 4500 San Pablo Rd, Jacksonville, FL 32224



Chest. 2000;118(5):1503-1505. doi:10.1378/chest.118.5.1503
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An occurrence of multiple chronic lung abscesses managed by lobectomy is described. These abscesses were present for 13 years in the patient, a nonimmunocompromised wood pulp worker. The patient had hemoptysis at presentation. The organism isolated was Ochroconis gallopavum, a dematiaceous fungus known to cause disease in immunocompromised patients and epidemic encephalitis in poultry. The fungus is typically found in warm environments and in decaying compost; for this reason, we postulate that his illness was occupationally acquired.

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