ADIASPIROMICOSIS HUMANA: PRIMER CASO PANAMEÑO

Marion C. Martin; Edgardo  Fernández; Ferrucio Bertoli; Eric Pinilla

Submitted October 14, 2024

Published 2026-04-06

Artículos de Investigación

Vol. 14 No. 2 (2001): Revista Médico Científica

HUMAN ADIASPIROMICOSIS: FIRST PANAMENIAN CASE

Marion C. Martin⁺⁻
Edgardo Fernández⁺⁻
Ferrucio Bertoli⁺⁻
Eric Pinilla⁺⁻

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DOI: ND

Published: 2026-04-06

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

Abstract

A 41-year-old tailor residing in a rat infested building, consulted with a chief complaint of persistent cough and hemoptysis. Chest X-rays revealed a bilateral granulomatous infiltrate . Family history was negative for tuberculosis. Mycological work-up of sputa obtained from the patient was positive for a fungus growth compatible with Emmonsia crescens. Animal (laboratory white mice) inoculation studies performed with the mycelial and yeast phases of the fungus produced histopathologic lesions, in which , fungal yeast elements (adiaspores) were clearly visible. Epidemiologic considerations are set forth relating to this disease in Panama incidence, population at risk, and contributing environmental factors.

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References

Albassan MA, Bhatnagar R, Li llie LE, Roy L. Adiaspiromycosis in striped skunks in Alberta, Canada. J Wildl Ois 1986; 22 (1): 13-8.
Hubalek Z, Zejda J , Svabodova S y Kucera J. Seasonality of rodent adiasporomycosis in a lowland forest. J Med Vet Mycol 1993; 31(5): 359-66
Emmons CV, Ashburn AL. The isolation of Haplosporangium parvum N. Sp. and Coccidioides immitis from wild rodents. Their relationship to coccidioidomycosis. Pub Health Rep 1942; 57(46): 1715-27.
Jellison W: Adiaspiromycosis in infectious diseases of wild mammals. lowa: lowa State University Press, 1970:321-3.
Chevrel ML. Polyparasit isme pulmonaire mycosique. Premier cas humain d' adiaspiromycose associée a une aspergillose. Ann Anat Path Paris 1964; 9 (3): 463-8.
Ooby-Dubois M. Premier cas humain d' adiaspiromycose par Emmonsia crescens, Emmons et Jellison, 1960. Bull Soc Path Exot 1964. 57:240-4.
Kodou sek R. Pulmonary adiaspiromycosis in man caused by Emmonsia crescens. Am J Clin Path 1971;56:394-9
Minami PS, Da Silva Lacaz C. Adiaspiromicose em roedores brasileiros. Registro de um caso em Akodon arviculoides. Rev Inst Med Trop Sao Paulo 1970; 112(3): 321-3.
England DM, Hochholzer L. Adiaspiromycosis: an unusual fungal infection of the lung. Report of 11 cases. Am J Surg Path 1993; 17 (9): 876-86
Cueva JA, Littie MD. Emmonsia crescens infection (Adiaspiromycosis) in man in Honduras. Am J Trop Med Hyg 1971; 20(1): 282-7.
Almeida Barbosa A, Moreira Lemos AC, Severo LC. Acute pulmonary adiaspiromycosis. Report of three cases and a review of 16 other cases collected form the literature. Rev Iberoam Micol 1997; 14(4): 177-80.
Echavarría E, Cano EL, Restrepo A. Oisseminated adiaspiromycosis in a patient with AIDS. J Med Vet Mycol 1993; 31 (1): 91-7.
Jellison WL, Glesne L y Peterson RS. Emmonsia, a fungus, and Bisnoitia, a protozoan, reported for South America. Bol Chileno de Parasit 1960; 15 (3): 46-7.
Martins RL, Santos CG, Franca FR, Moraes MA. Human Adiasporomycosis. A report of a case treated with ketoconazole. Rev Soc Bras Med Trop 1997; 30 (6): 507-9.
Barbas JV, Amato MB, Oeheinzelin O. Respiratory failure caused by adiaspiromycosis. Chest 1990; 97(5): 1171-5.
Nuorva K, Pitkanen R, Issakainen J. Pulmonary adiasporomycosis in a 2-year-old girl. J Clin Path 1997; 50(1): 82-5.
Rippon Jw. Adiaspiromicosis. En: Tratado de Micología Médica 3ª ed. 1990. Interamericana McGraw-Hill, México. p: 776-80.
Slais J. Histopathological changes and the genesis of adiasporomycoma in mice infected intraperitoneally with Emmonsia crescens Emmons et Jellison 1960; Folia Parasit (Prague) 1976; 23 (4): 373-81.
Slais J, Dvorak J y Otcenasek M: The morphology of solitary adiaspores of Emmonsia crescens from the lung
of man. Folia Parasit (Prague) 1970;.17: 177-82.

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[1] Albassan MA, Bhatnagar R, Li llie LE, Roy L. Adiaspiromycosis in striped skunks in Alberta, Canada. J Wildl Ois 1986; 22 (1): 13-8.

[2] Hubalek Z, Zejda J , Svabodova S y Kucera J. Seasonality of rodent adiasporomycosis in a lowland forest. J Med Vet Mycol 1993; 31(5): 359-66

[3] Emmons CV, Ashburn AL. The isolation of Haplosporangium parvum N. Sp. and Coccidioides immitis from wild rodents. Their relationship to coccidioidomycosis. Pub Health Rep 1942; 57(46): 1715-27.

[4] Jellison W: Adiaspiromycosis in infectious diseases of wild mammals. lowa: lowa State University Press, 1970:321-3.

[5] Chevrel ML. Polyparasit isme pulmonaire mycosique. Premier cas humain d' adiaspiromycose associée a une aspergillose. Ann Anat Path Paris 1964; 9 (3): 463-8.

[6] Ooby-Dubois M. Premier cas humain d' adiaspiromycose par Emmonsia crescens, Emmons et Jellison, 1960. Bull Soc Path Exot 1964. 57:240-4.

[7] Kodou sek R. Pulmonary adiaspiromycosis in man caused by Emmonsia crescens. Am J Clin Path 1971;56:394-9

[8] Minami PS, Da Silva Lacaz C. Adiaspiromicose em roedores brasileiros. Registro de um caso em Akodon arviculoides. Rev Inst Med Trop Sao Paulo 1970; 112(3): 321-3.

[9] England DM, Hochholzer L. Adiaspiromycosis: an unusual fungal infection of the lung. Report of 11 cases. Am J Surg Path 1993; 17 (9): 876-86

[10] Cueva JA, Littie MD. Emmonsia crescens infection (Adiaspiromycosis) in man in Honduras. Am J Trop Med Hyg 1971; 20(1): 282-7.

[11] Almeida Barbosa A, Moreira Lemos AC, Severo LC. Acute pulmonary adiaspiromycosis. Report of three cases and a review of 16 other cases collected form the literature. Rev Iberoam Micol 1997; 14(4): 177-80.

[12] Echavarría E, Cano EL, Restrepo A. Oisseminated adiaspiromycosis in a patient with AIDS. J Med Vet Mycol 1993; 31 (1): 91-7.

[13] Jellison WL, Glesne L y Peterson RS. Emmonsia, a fungus, and Bisnoitia, a protozoan, reported for South America. Bol Chileno de Parasit 1960; 15 (3): 46-7.

[14] Martins RL, Santos CG, Franca FR, Moraes MA. Human Adiasporomycosis. A report of a case treated with ketoconazole. Rev Soc Bras Med Trop 1997; 30 (6): 507-9.

[15] Barbas JV, Amato MB, Oeheinzelin O. Respiratory failure caused by adiaspiromycosis. Chest 1990; 97(5): 1171-5.

[16] Nuorva K, Pitkanen R, Issakainen J. Pulmonary adiasporomycosis in a 2-year-old girl. J Clin Path 1997; 50(1): 82-5.

[17] Rippon Jw. Adiaspiromicosis. En: Tratado de Micología Médica 3ª ed. 1990. Interamericana McGraw-Hill, México. p: 776-80.

[18] Slais J. Histopathological changes and the genesis of adiasporomycoma in mice infected intraperitoneally with Emmonsia crescens Emmons et Jellison 1960; Folia Parasit (Prague) 1976; 23 (4): 373-81.

[19] Slais J, Dvorak J y Otcenasek M: The morphology of solitary adiaspores of Emmonsia crescens from the lung

[20] of man. Folia Parasit (Prague) 1970;.17: 177-82.

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