Fatal empyema thoracis caused by Schizophyllum commune with cross-reactive cryptococcal antigenemia

J Clin Microbiol. 2014 Feb;52(2):683-7. doi: 10.1128/JCM.02770-13. Epub 2013 Nov 13.

Abstract

We report a fatal case of Schizophyllum commune empyema thoracis with cross-reactive cryptococcal antigenemia. In vitro testing confirmed the ability of the fungus to cause a positive cryptococcal antigen latex agglutination system (CALAS) test result. Such a result may lead to delay in diagnosis and treatment, as most strains of S. commune are resistant to fluconazole.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Antigens, Fungal / blood*
  • Cross Reactions*
  • Cryptococcus / immunology*
  • DNA, Fungal / chemistry
  • DNA, Fungal / genetics
  • Empyema, Pleural / diagnosis*
  • Empyema, Pleural / microbiology
  • False Positive Reactions
  • Fatal Outcome
  • Humans
  • Latex Fixation Tests / methods*
  • Male
  • Molecular Sequence Data
  • Mycoses / diagnosis*
  • Mycoses / microbiology
  • Schizophyllum / isolation & purification*
  • Sequence Analysis, DNA

Substances

  • Antigens, Fungal
  • DNA, Fungal