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Exophiala Pneumonia Presenting with a Cough Productive of Black Sputum

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2015

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Hindawi Publishing Corporation
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Cohen, Yehuda Z., and Wendy Stead. 2015. “Exophiala Pneumonia Presenting with a Cough Productive of Black Sputum.” Case Reports in Infectious Diseases 2015 (1): 821049. doi:10.1155/2015/821049. http://dx.doi.org/10.1155/2015/821049.

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Abstract

Exophiala species are black, yeast-like molds that can cause subcutaneous cysts as well as disseminated disease. Isolated pneumonia due to Exophiala species is extremely uncommon. We report a case of isolated Exophiala pneumonia in a patient with bronchiectasis who presented with worsening dyspnea and a cough productive of black sputum. The production of black sputum, known as melanoptysis, is an uncommon physical finding with a limited differential diagnosis. To our knowledge, this is the first reported case of Exophiala pneumonia presenting with a cough productive of black sputum.

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