Abstract
Fungi are eukaryotic, unicellular, or filamentous organisms that lack chlorophyll, have chitinous cell walls, and reproduce asexually, sexually, or both ways. All available evidence indicates that humans and animals contract most fungal infections by exposure to infectious particles originating from saprophytic moulds and yeasts growing in nature. Of more than 100,000 fungal species in our environment, only about 150 are known to be pathogenic. Their ability to invade body tissues and to produce disease depends on the virulence of the infectious particle, the infecting dose, the route of infection, the resistance or immune status of the host, the organs affected, and the coexistence of infections and other underlying medical conditions. A few fungi, such as the Candida spp., are endogenous, occurring as commensals on the skin and mucous membranes and in the gastrointestinal tract.1,2 These fungi, which are part of the normal body flora, are opportunists that only rarely infect the noncompromised, healthy individual. The Prototheca spp. are not fungi, but are considered by most taxonomists to be achloric mutants of green algae of the genus Chlorella.3 Nevertheless, diseases caused by the protothecae have traditionally fallen within the province of medical mycology and are therefore included in this chapter. For detailed information on the taxonomy of the fungi, several texts are recommended.2–5
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References
Introduction
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Histoplasmosis Duboisii
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Blastomycosis
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Cryptococcosis
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Campbell GD. Primary pulmonary cryptococcosis. Am Rev Respir Dis 1966; 94: 236–243.
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Paracoccidioidomycosis
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Cohen J. Antifungal chemotherapy. Lancet 1982; 2: 532–537.
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Sporotrichosis
Lurie HI. Sporotrichosis. In: Baker RD, ed. The pathologic anatomy of mycoses: human infection with fungi, actinomycetes and algae. Berlin: Springer-Verlag, 1971: 614–675.
Bullpitt P, Weedon D. Sporotrichosis: a review of 39 cases. Pathology 1978; 10: 249–256.
Lurie HI. Histopathology of sporotrichosis. Arch Pathol 1963; 75: 92–109.
Scott SM, Peasley ED, Crymes TP. Pulmonary sporotrichosis. Report of two cases with cavitation. N Engl J Med 1961; 265: 453–457.
Baum GL, Donnerberg RL, Steward D, Mulligan WJ, Putnam LR. Pulmonary sporotrichosis. N Engl J Med 1969; 280: 410–413.
Berson SD, Brandt FA. Primary pulmonary sporotrichosis with unusual fungal morphology. Thorax 1977; 32: 505–508.
England DM, Hochholzer L. Primary pulmonary sporotrichosis. Report of eight cases with clinicopathologic review. Am J Surg Pathol 1985; 9: 193–204.
Wilson DE, Mann JJ, Bennett JE, Utz JP. Clinical features of extracutaneous sporotrichosis. Medicine (Baltimore) 1967; 46: 265–279.
Lynch PJ, Voorhees JJ, Harrell ER. Systemic sporotrichosis. Ann Intern Med 1970; 73: 23–30.
Font RL, Jakobiec FA. Granulomatous necrotizing retinochoroiditis caused by Sporotrichum schenckii. Report of a case including immunofluorescence and electron microscopical studies. Arch Ophthalmol 1976; 94: 1513 1519.
Brook CJ, Ravikrishnan KP, Weg JG. Pulmonary and articular sporotrichosis. Am Rev Respir Dis 1977; 116: 141–143.
Friedman SJ, Doyle JA. Extracutaneous sporotrichosis. Int J Dermatol 1983; 22: 171–176.
Smith PW, Loomis GW, Luckasen JL, Osterholm RK. Disseminated cutaneous sporotrichosis. Three illustrative cases. Arch Dermatol 1981; 117: 143–144.
Smith AG, Morgan WKC, Hornick RB, Funk AM. Chronic pulmonary sporotrichosis: report of a case, including morphologic and mycologic studies. Am J Clin Pathol 1970; 54: 401–409.
Schwarz J, Baum GL. Fungus diseases of the lungs. Sporotrichosis. Semin Roentgenol 1970; 5: 55–57.
Comstock C, Wolson AH. Roentgenology of sporotrichosis. Am J Roentgenol Radium Ther Nucl Med 1975; 125: 651–655.
Lurie HI, Still WIS. The “capsule” of Sporotrichum schenckii and the evolution of the asteroid body. A light and electron microscopic study. Sabouraudia 1969; 7: 64–70.
Maberry JD, Mullins JF, Stone OJ. Sporotrichosis with demonstration of hyphae in human tissue. Arch Dermatol 1966; 93: 65–67.
Mohr JA, Patterson CD, Eaton BG, Rhoades ER, Nichols NB. Primary pulmonary sporotrichosis. Am Rev Respir Dis 1972; 106: 260–264.
Kaplan W, Gonzalez-Ochoa A. Application of the fluorescent antibody technique to the rapid diagnosis of sporotrichosis. J Lab Clin Med 1963; 62: 835–841.
Parker JD, Sarosi GA, Tosh FE. Treatment of extracutaneous sporotrichosis. Arch Intern Med 1970; 125: 858863.
Rohwedder JJ, Archer G. Pulmonary sporotrichosis: treatment with miconazole. Am Rev Respir Dis 1976; 114: 403–406.
Jung JY, Almond CH, Campbell DC, Elkadi A, Tenorio A. Role of surgery in the management of pulmonary sporotrichosis. J Thorac Cardiovasc Surg 1979; 77: 234239.
Torulopsosis
Grimley PM, Wright LD, Jennings AE. Torulopsis glabrata infection in man. Am J Clin Pathol 1965; 43: 216223.
Marks MI, Langston C, Eickhoff TC. Torulopsis glabrata-an opportunistic pathogen of man. N Engl J Med 1970; 283: 1131–1135.
Yarrow D, Meyer SA. Proposal for amendment of the diagnosis of the genus Candida Berkhout nom. cons. Int J Syst Bacteriol 1978; 28: 611–615.
McGinnis MR, Ajello L, Beneke ES, et al. Taxonomic and nomenclatural evaluation of the genera Candida and Torulopsis. J Clin Microbiol 1984; 20: 813–814.
Lodder J. The yeasts. A taxonomic study. 2d ed. Amsterdam: North-Holland, 1970.
Katz D, Pickard RE. Systemic Torulopsis glabrata infection causing shock, fever and coma. Am J Med 1967; 42: 151–152.
Louria DB, Belvins A, Armstrong D, Burdick R, Lieberman P. Fungemia caused by “nonpathogenic” yeasts. Arch Intern Med 1967; 119: 247–252.
Rodrigues RJ, Shinya H, Wolff WI, Puttlitz D. Torulopsis glabrata fungemia during prolonged intravenous alimentation therapy. N Engl J Med 1971; 284: 540–541.
Pankey GA, Daloviso JR. Fungemia caused by Torulopsis glabrata. Medicine (Baltimore) 1973; 52: 395–403.
Young RC, Bennett JE, Geelhoed GW, Levine AS. Fungemia with compromised host resistance. A study of 70 cases. Ann Intern Med 1974; 80: 605–612.
Valdivieso M, Luna M, Bodey GP, Rodriguez V, Groschel D. Fungemia due to Torulopsis glabrata in the compromised host. Cancer 1976; 38: 1750–1756.
Berkowitz ID, Robboy SJ, Karchmer AW, Kunz U. Torulopsis glabrata fungemia-a clinical pathological study. Medicine (Baltimore) 1979; 58: 430–440.
Kauffman CA, Tan JS. Torulopsis glabrata renal infection. Am J Med 1974; 57: 217–224.
Takeuchi H, Tomoyoshi T. Torulopsis infection extensively involving urinary tract. Urology 1983; 22: 173–175.
Vordermark JS II, Modarelli RO, Buck AS. Torulopsis pyelonephritis associated with papillary necrosis. A case report. J Urol 1980; 123: 96–97.
Oldfield FS, Kapica L, Pirozynski W.J. Pulmonary infection due to Torulopsis glabrata. Can Med Assoc J 1968; 98: 165–168.
Aisner J, Sickles EA, Schimpff SC, Young VM, Greene WH, Wiernik PH. Torulopsis glabrata pneumonitis in patients with cancer: report of three cases. JAMA 1974; 230: 584–585.
Sander LA, Young EJ, Musher DM, Clarridge JE. Torulopsis glabrata pneumonia in a malnourished woman. South Med J 1979; 72: 1477–1479.
Gustke KA, Wu KK. Torulopsis glabrata osteomyelitis: report of a case. Clin Orthop 1981; 154: 197–200.
Thurston AJ, Gillespie WJ. Torulopsis glabrata osteomyelitis of the spine: a case report and review of the literature. Aust NZ J Surg 1981; 51: 374–376.
Heffner DK, Franklin WA. Endocarditis caused by Torulopsis glabrata. Am J Clin Pathol 1978; 70: 420–423.
Holliday HD, Keipper V, Kaiser AB. Torulopsis glabrata endocarditis. JAMA 1980; 244: 2088–2089.
Miller DD. Postoperative acalculous cholecystitis due to Torulopsis glabrata. Arch Surg 1976; 111: 1404–1405.
Baley JE, Dliegman RM, Annable WL, Dahms BB, Fanaroff AA. Torulopsis glabrata sepsis appearing as necrotizing enterocolitis and endophthalmitis. Am J Dis Child 1984; 138: 965–966.
Wurzel B, Goldberg P, Caroline L, Bozza AT, Kozinn PJ. Torulopsis glabrata meningoencephalitis treated with 5-flucytosine. Ann Intern Med 1972; 77: 814–815.
Fitzsimons RB, Nicholls MD, Billson FA, Robertson TI, Hersey P. Fungal retinitis: a case of Torulopsis glabrata infection treated with miconazole. Br J Ophthalmol 1980; 64: 672–675.
Clark JFJ, Faggett T, Peters B, et al. Ulcerative vaginitis due to Torulopsis glabrata: a case report. J Natl Med Assoc 1978; 70: 913–914.
Hahn H, Condie F, Bulger RF. Diagnosis of Torulopsis glabrata infection. JAMA 1968; 203: 835–837.
Rose HD, Heckman MG. Persistent fungemia caused by Torulopsis glabrata: treatment with amphotericin B. Am J Clin Pathol 1970; 54: 205–208.
Candidiasis
Rose HD, Varkey B. Deep mycotic infection in the hospitalized adult: a study of 123 patients. Medicine (Baltimore) 1975; 54: 499–507.
DeGregorio MW, Lee WMF, Linker CA, Jacobs RA, Ries CA. Fungal infections in patients with acute leukemia. Am J Med 1982; 73: 543–548.
Maksymiuk AW, Thongprasert S, Hopfer R, Luna M, Fainstein V, Bodey GP. Systemic candidiasis in cancer patients. Am J Med 1984; 77 (4D): 20–27.
Schwartz RS, Mackintosh FR, Schrier SL, Greenberg PL. Multivariate analysis of factors associated with invasive fungal disease during remission induction therapy for acute myelogenous leukemia. Cancer 1984; 53: 41 1419.
Hopfer RL. Mycology of candida infections. In: Bodey GP, Fainstein V, eds. Candidiasis. New York: Raven, 1985: 1–12.
Parker JC, McCloskey JJ, Knauer KA. Pathobiologic features of human candidiasis: a common deep mycosis of the brain, heart and kidney in the altered host. Am J Clin Pathol 1976; 65: 991–1000.
Myerowitz RL, Pazin GJ, Allen CM. Disseminated candidiasis: changes in incidence, underlying diseases, and pathology. Am J Clin Pathol 1977; 68: 29–38.
Kiehn TE, Edwards FF, Armstrong D. The prevalence of yeasts in clinical specimens from cancer patients. Am J Clin Pathol 1980; 73: 518–521.
Hughes WT. Systemic candidiasis: a study of 109 fatal cases. Pediatr Infect Dis 1982; 1: 11–18.
Marsh PK, Tally FP, Kellum J, Callow A, Gorbach SL. Candida infections in surgical patients. Ann Surg 1983; 198: 42–47.
Kozinn PJ, Taschdjian CL. Candida albicans: saprophyte or pathogen? JAMA 1966; 198: 170–172.
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Edwards JW, moderator. Severe candidal infections: clinical perspective, immune defense mechanisms, and current concepts of therapy. Ann Intern Med 1978; 89: 91–106.
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Marchevsky A, Rosen MJ, Chrystal G, Kleinerman J. Pulmonary complications of the acquired immunodeficiency syndrome: a clinicopathologic study of 70 cases. Hum Pathol 1985; 16: 659–670.
Myerowitz RL. The pathology of opportunistic infections with pathogenetic, diagnostic, and clinical correlations. New York: Raven, 1983: 95–114.
Kassner EG, Kauffman SL, Yoon JJ, Semiglia M, Kozinn PJ, Goldberg PL. Pulmonary candidiasis in infants: clinical, radiologic, and pathologic features. AJR 1981; 137: 707–716.
Masur H, Rosen PP, Armstrong D. Pulmonary disease caused by Candida species. Am J Med 1977; 63: 914–925.
Bodey GP, Fainstein V. Systemic candidiasis. In: Bodey GP, Fainstein V, eds. Candidiasis. New York: Raven, 1985: 135–168.
Ramirez G, Shuster M, Kozub W, Pribor HG. Fatal acute Candida albicans bronchopneumonia: report of a case. JAMA 1967; 199: 340–342.
Steven PJ, Jameson JW, Philpott CM. Fatal pulmonary candidiasis. Lancet 1972; 1: 962–963.
Rosenbaum RB, Barber JV, Stevens DA. Candida albicans pneumonia: diagnosis by pulmonary aspiration, recovery without treatment. Am Rev Respir Dis 1974; 109: 373–378.
Pagani JJ, Libshitz HI. Opportunistic fungal pneumonias in cancer patients. AJR 1981; 137: 1033–1039.
Pagani JJ, Libshitz HI. Radiology of Candida infections. In: Bodey GP, Fainstein V, eds. Candidiasis. New York: Raven, 1985: 71–84.
Dubois PJ, Myerowitz RL, Allen CM. Pathoradiologic correlation of pulmonary candidiasis in immunosuppressed patients. Cancer 1977; 40: 1026–1036.
Bode FR, Paré JAP, Fraser RG. Pulmonary diseases in the compromised host: a review of clinical and roentgenographic manifestations in patients with imparied host defense mechanisms. Medicine (Baltimore) 1974; 53: 255–293.
Buff SJ, McLelland R, Gallis HA, Matthay R, Putman CE. Candida albicans pneumonia: radiographic appearance. AJR 1982; 138: 645–648.
Hietala SO, Jonsson M, Burman LA. Candida albicans pneumonia. Acta Radio ! [Diagn] (Stockh) 1982; 23: 507511.
Rose HS, Sheth NK. Pulmonary candidiasis: a clinical and pathologic correlation. Arch Intern Med 1978; 138: 964–965.
Kozinn PJ, Taschdjian CL. Laboratory diagnosis of candidiasis. In: Bodey GP, Fainstein V, eds. Candidiasis. New York: Raven, 1985: 85–110.
Gold, JWM. Opportunistic fungal infections in patients with neoplastic disease. Am J Med 1984; 76: 458–463.
Goldstein E, Hoeprich PD. Problems in the diagnosis and treatment of systemic candidiasis. J Infect Dis 1972; 125: 190–193.
Utz JP, Drouhet E. Treatment of Candida infections. In: Bodey GP, Fainstein V, eds. Candidiasis. New York: Raven, 1985: 253–269.
Nakamura T. Experimental pulmonary candidiasis in modified rabbits. Mycopathologia 1984; 85: 129–144.
Luna MA, Tortoledo ME. Histologic identification and pathologic patterns of disease due to Candida. In: Bodey GP, Fainstein V, eds. Candidiasis. New York: Raven, 1985: 13–27.
Kaplan W. Direct fluorescent antibody tests for the diagnosis of mycotic diseases. Ann Clin Lab Sci 1973; 3: 25–29.
Aspergillosis
Pennington JE. Aspergillus lung disease. Med Clin North Am 1980;64:475–490.
Greene R. The pulmonary aspergilloses: three distinct entities or a spectrum of disease. Radiology 1981; 140: 527–530.
Katzenstein AL, Liebow AA, Friedman PJ. Bronchocentric granulomatosis, mucoid impaction, and hypersensitivity reactions to fungi. Am Rev Respir Dis 1975; 111: 497–537.
Koss MN, Hochholzer L, Feigin DS, Garancis JC, Ward PA. Necrotizing sarcoid-like granulomatosis: clinical, pathologic, and immunopathologic findings. Hum Pathol 1980; 11: 510–519.
Greene R. Opportunistic pneumonias. Semin Roentgenol 1980; 15: 50–72.
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Rippon JW. Medical mycology: the pathogenic fungi and the pathogenic actinomycetes. 2d ed. Philadelphia: WB Saunders, 1982: 565–594.
Young RC, Bennett JE, Vogel CL, Carbone PP, DeVita VT. Aspergillosis: the spectrum of the disease in 98 patients. Medicine (Baltimore) 1970; 49: 147–173.
Pena CE. Aspergillosis. In: Baker RD, ed. The pathologic anatomy of mycoses: human infection with fungi, actinomycetes and algae. Berlin: Springer-Verlag, 1971: 762–831.
Young RC, Jennings A, Bennett JE. Species identification of invasive aspergillosis in man. Am J Clin Pathol 1972; 58: 554–557.
Binder RE, Faling LJ, Pugatch RD, Mahasaen C, Snider GL. Chronic necrotizing pulmonary aspergillosis: a discrete clinical entity. Medicine (Baltimore) 1982; 61: 109124.
Weiland D, Ferguson RM, Peterson PK, Snover DC, Simmons RL, Najarian JS. Aspergillosis in 25 renal transplant patients: epidemiology, clinical presentation, diagnosis, and management. Ann Surg 1983; 198: 62 2629.
Albelda SM, Talbot GH, Gerson SL, Miller WT, Cassileth PA. Pulmonary cavitation and massive hemoptysis in invasive pulmonary aspergillosis: influence of bone marrow recovery in patients with acute leukemia. Am Rev Respir Dis 1985; 131: 115–120.
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Bardana EJ. Pulmonary aspergillosis. In: Al-Doory Y, Wagner GE, eds. Aspergillosis. Springfield: Thomas, 1985: 43–78.
British Thoracic and Tuberculosis Association. Aspergilloma and residual tuberculous cavities: the results of a resurvey. Tubercle 1970; 51: 227–245.
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Freundlich IM, Israel HL. Pulmonary aspergillosis. Clin Radiol 1973; 24: 248–253.
Pennington JE. Opportunistic fungal pneumonias: Aspergillus, Mucor, Candida, Torulopsis. In: Pennington JE, ed. Respiratory infections: diagnosis and management. New York: Raven, 1983: 329–339.
Glimp RA, Bayer AS. Pulmonaryaspergilloma: diagnostic and therapeutic considerations. Arch Intern Med 1983; 143: 303–308.
Sinclair AJ, Rossof AH, Coltman CA. Recognition and successful management in pulmonary aspergillosis in leukemia. Cancer 1978; 42: 2019–2024.
Przyjemski C, Mattii R. The formation of pulmonary mycetomata. Cancer 1980; 46: 1701–1704.
Henderson AH, English MP, Vecht RJ. Pulmonary aspergillosis: a survey of its occurrence in patients with chronic lung disease and a discussion of the significance of diagnostic tests. Thorax 1968; 23: 513–518.
Klein DL, Gamsu G. Thoracic manifestations of aspergillosis. AJR 1980; 134: 543–552.
Pervez NK, Kleinerman J, Kattan M, et al. Pseudomembranous necrotizing bronchial aspergillosis: a variant of invasive aspergillosis in a patient with hemophilia and acquired immune deficiency syndrome. Am Rev Respir Dis 1985; 131: 961–963.
Gefter WB, Weingrad TR, Epstein DM, Ochs RH, Miller WT. “Semi-invasive” pulmonary aspergillosis: a new look at the spectrum of Aspergillus infections of the lung. Radiology 1981; 140: 313–321.
Diamond RD, Krzesicki R, Epstein B, Jao W. Damage to hyphal forms of fungi by human leukocytes in vitro: a possible host defense mechanism in aspergillosis and mucormycosis. Am J Pathol 1978; 91: 313–328.
Schaffner A, Douglas H, Braude A. Selective protection against conidia by mononuclear and against mycelia by polymorphonuclear phagocytes in resistance to Aspergillus: obervations on these two lines of defense in vivo and in vitro with human and mouse phagocytes. J Clin Invest 1982; 69: 617–631.
Meyer RD, Young LS, Armstrong D, Yu B. Aspergillosis complicating neoplastic disease. Am j Med 1973; 54: 6–15.
Orr DP, Myerowitz RL, Dubois PJ. Patho-radiologic correlation of invasive pulmonary aspergillosis in the compromised host. Cancer 1978; 41: 2028–2039.
Herbert PA, Bayer AS. Fungal pneumonia (part 4): invasive pulmonary aspergillosis. Chest 1981; 80: 220–225.
Fisher BD, Armstrong D, Yu B, Gold JWM. Invasive aspergillosis: progress in early diagnosis and treatment. Am J Med 1981; 71: 571–577.
Gerson SL, Talbot GH, Hurwitz S, Strom BL, Lusk EJ, Cassileth PA. Prolonged granulocytopenia: the major risk factor for invasive pulmonary aspergillosis in patients with acute leukemia. Ann Intern Med 1984; 100: 345–351.
Sidransky H, Friedman L. The effect of cortisone and antibiotic agents on experimental pulmonary aspergillosis. Am J Pathol 1959; 35: 169–183.
Davies SF, Sarosi GA. Aspergillosis in the immunosuppressed patient. In: Al-Doory Y, Wagner GE, eds. Aspergillosis. Springfield: Thomas, 1985: 96–114.
Brown E, Freedman S, Arbeit R, Come S. Invasive pulmonary aspergillosis in an apparently nonimmunocompromised host. Am J Med 1980; 69: 624–627.
Cooper JAD, Weinbaum DL, Aldrich TK, Mandell GL. Invasive aspergillosis of the lung and pericardium in a nonimmunocompromised 33-year-old man. Am J Med 1981; 71: 903–907.
Libshitz HI, Pagani JJ. Aspergillosis and mucormycosis: two types of opportunistic fungal pneumonia. Radiology 1981; 140: 301–306.
Nime FA, Hutchins GM. Oxalosis caused by Aspergillus infection. Johns Hopkins Med J 1973; 133: 183–194.
Kurrein F, Green GH, Rowles SL. Localized deposition of calcium oxalate around a pulmonary Aspergillus niger fungus ball. Am J Clin Pathol 1975; 64: 556–563.
Pore RS, Larsh HW. Aleuriospore formation in four related Aspergillus species. Mycologia 1967; 59: 318–325.
Schwarz J. Aspergillosis. Pathol Annu 1973; 8: 81–107.
Lemos LB, Jensen AB. Pathology of aspergillosis. In: Al-Doory Y, Wagner GE, eds. Aspergillosis. Springfield: Thomas, 1985: 156–195.
Khoo TK, Sugai K, Leong TK. Disseminated aspergillosis: case report and review of the world literature. Am J Clin Pathol 1966; 45: 697–703.
Mucormycosis
Baker RD. The phycomycoses. Ann NY Acad Sci 1970; 174: 592–605.
Hutter RVP. Phycomycetous infection (mucormycosis) in cancer patients: a complication of therapy. Cancer 1959; 12: 330–350.
Straatsma BR, Zimmerman LE, Gass JDM. Phycomycosis: a clinicopathologic study of fifty-one cases. Lab Invest 1962; 11: 963–985.
Baker RD. Mucormycosis (opportunistic phycomycosis). In: Baker RD, ed. The pathologie anatomy of mycoses: human infection with fungi, actinomycetes and algae. Berlin: Springer-Verlag, 1971: 832–918.
Meyer RD, Rosen P, Armstrong D. Phycomycosis complicating leukemia and lymphoma. Ann Intern Med 1972; 77: 871–879.
Meyer RD, Armstrong D. Mucormycosis-changing status. CRC Grit Rev Clin Lab Sci 1973; 4: 421–451.
Lehrer RI, moderator. Mucormycosis. Ann Intern Med 1980; 93 (part1): 93–108.
Marchevsky AM, Bottone EJ, Geller SA, Giger DK. The changing spectrum of disease, etiology, and diagnosis of mucormycosis. Hum Pathol 1980; 11: 457–464.
F.W. CHANDLER AND J.C. WATTS
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Neame P, Rayner D. Mucormycosis: a report on twenty-two cases. Arch Pathol 1960; 70: 261–268.
Lyon DT, Schubert TT, Mantia AG. Phycomycosis of the gastrointestinal tract. Am J Gastroenterol 1979; 72: 379–394.
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Baker RD. Pulmonary mucormycosis. Am J Pathol 1956; 32: 287–313.
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Bartrum RJ, Watnick M, Herman PG. Roentgenographic findings in pulmonary mucormycosis. Am J Roentgenol Radium Ther Nucl Med 1973; 117: 810–815.
Myerowitz RL. The pathology of opportunistic infections with pathogenetic, diagnostic, and clinical correlations. New York: Raven, 1983: 129–135.
Leong ASY. Granulomatous mediastinitis due to Rhizopus species. Am J Clin Pathol 1978; 70: 103–107.
Chandler FW, Watts JC, Kaplan W, Hendry AT, McGinnis MR, Ajello L. Zygomycosis: report of four cases with formation of chlamydoconidia in tissue. Am J Clin Pathol 1985; 84: 99–103.
Espinoza CG, Halkias DG. Pulmonary mucormycosis as a complication of chronic salicylate poisoning. Am J Clin Pathol 1983; 80: 508–511.
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Brown JF, Gottlieb LS, McCormick RA. Pulmonary and rhinocerebral mucormycosis: successful outcome with amphotericin B and griseofulvin therapy. Arch Intern Med 1977; 137: 936–938.
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Coccidioidomycosis
Drutz DJ. Coccidioidal pneumonia. In: Pennington JE, ed. Respiratory infections: diagnosis and management. New York: Raven, 1983: 353–373.
Drutz DJ, Catanzaro A. Coccidioidomycosis: part I. Am Rev Respir Dis 1978; 117: 559–585.
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Drutz DJ, Huppert M. Coccidioidomycosis: factors affecting the host-parasite interaction. J Infect Dis 1983; 147: 372–390.
Meyer PR, Hui AN, Biddle M. Coccidioides immitis meningitis with arthroconidia in cerebrospinal fluid: report of the first case and review of the arthroconidia literature. Hum Pathol 1982; 13: 1136–1138.
Fiese MJ. Coccidioidomycosis. Springfield: Thomas, 1958.
Drutz DJ, Catanzaro A. Coccidioidomycosis: part II. Am Rev Respir Dis 1978; 117: 727–771.
Bayer AS. Fungal pneumonias; pulmonary coccidioidal syndromes (part 1): primary and progressive primary coccidioidal pneumonias-diagnostic, therapeutic, and prognostic considerations. Chest 1981; 79: 575–583.
Bayer AS. Fungal pneumonias: pulmonary coccidioidal syndromes (part 2): miliary, nodular, and cavitary pulmonary coccidioidomycosis; chemotherapeutic and surgical considerations. Chest 1981; 79: 686–691.
Birsner JW. The roentgen aspects of five hundred cases of pulmonary coccidioidomycosis. Am J Roentgenol Radium Ther Nucl Med 1954; 72: 556–573.
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Deresinsky SC, Stevens DA. Coccidioidomycosis in compromised hosts. Medicine (Baltimore) 1974; 54: 377395.
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Forbus WD, Bestebreurtje AM. Coccidioidomycosis: a study of 95 cases of the disseminated type with special reference to the pathogenesis of the disease. Milit Surg 1946; 99: 653–719.
Huntington RW. Coccidioidomycosis. In: Baker RD, ed. The pathologic anatomy of mycoses: human infection with fungi, actinomycetes, and algae. Berlin: Springer-Verlag, 1971: 147–210.
Winn WR, Finegold SM, Huntington RW. Coccidioidomycosis with fungemia. In: Ajello L, ed. Coccidioidomycosis: the second symposium on coccidioidomycosis. Tucson: Univ. Arizona Press, 1967: 93–109.
Huntington RW, Waldmann WJ, Sargent JA, O’Connell H, Wybel R, Groll D. Pathologic and clinical observations on 142 cases of fatal coccidioidomycosis with necropsy. In: Ajello L, ed. Coccidioidomycosis: the second symposium on coccidioidomycosis. Tucson: Univ. Arizona Press, 1967: 143–167.
Putnam JS, Harper WK, Greene JF, Nelson KG, Zurek RC. Coccidioides immitis: a rare cause of pulmonary mycetoma. Am Rev Respir Dis 1975; 112: 733–738.
Fee HJ, McAvoy JM, Michals AA, Gold PM. Unusual manifestation of Coccidioides immitis infection. J Thorac Cardiovasc Surg 1977; 74: 548–550.
Thadepalli H, Salem FA, Mandat AK, Rambhatla K, Einstein HE. Pulmonary mycetoma due to Coccidioides immitis. Chest 1977; 71: 429–430.
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Protothecosis
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Chandler, F.W., Watts, J.C. (1988). Fungal Infections. In: Dail, D.H., Hammar, S.P. (eds) Pulmonary Pathology. Springer, New York, NY. https://doi.org/10.1007/978-1-4757-3932-9_8
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