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Using mNGS on BALF, <jats:styled-content style=\"fixed-case\"><jats:italic>S. commune<\/jats:italic><\/jats:styled-content> sequences were identified. The patient's clinical symptoms, lab results, and imaging features aligned with six criteria from Asano's assessment table, confirming ABPM. During treatment, bronchoscopic airway clearance, antifungal agents, and inhaled corticosteroids proved effective. The case highlights mNGS's role in diagnosing rare fungal infections and the need for individualised antifungal therapy. Azithromycin's potential anti\u2010inflammatory effects were noted, though its specific application in ABPM requires further study. Caution is advised in future use, with more research needed on its mechanism in such cases.<\/jats:p>","DOI":"10.1002\/rcr2.70239","type":"journal-article","created":{"date-parts":[[2025,7,4]],"date-time":"2025-07-04T00:49:03Z","timestamp":1751590143000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Recurrent Pulmonary Infection Caused by <scp><i>Schizophyllum commune<\/i><\/scp>: A Case Report and Management of Inflammation"],"prefix":"10.1002","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5734-0581","authenticated-orcid":false,"given":"Shuai","family":"Ren","sequence":"first","affiliation":[{"name":"Department of Pulmonology Shanghai Public Health Clinical Center  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ping","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Pulmonology Shanghai Public Health Clinical Center  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manyu","family":"Dai","sequence":"additional","affiliation":[{"name":"Department of Cardiology The Second Affiliated Hospital of Bengbu Medical College  Bengbu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruifang","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Pulmonology Shanghai Public Health Clinical Center  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haicheng","family":"Tang","sequence":"additional","affiliation":[{"name":"Department of Pulmonology Shanghai Public Health Clinical Center  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,7,3]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1515\/hfsg.1980.34.2.67"},{"key":"e_1_2_7_3_1","unstructured":"J. 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