{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T19:52:52Z","timestamp":1784749972052,"version":"3.55.0"},"reference-count":24,"publisher":"BMJ","issue":"7","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2023,7,7]]},"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:p>\n                  <jats:italic>Verruconis gallopava<\/jats:italic> is an emerging causative agent in solid organ transplant patients, increasing in prevalence both in non-transplanted patients and also in immunocompetent ones, albeit rarely. In this case report, we describe an unusual <jats:italic>V. gallopava<\/jats:italic> infection in a patient with steroid-dependent autoimmune haemolytic anaemia. The chest CT scan revealed a mass-like consolidation in the superior segment of the right lower lobe, and bronchoscopic examination confirmed <jats:italic>V. gallopava<\/jats:italic> from bronchoalveolar lavage. The histopathology showed non-necrotising granulomatous inflammation concurrent with septate-pigmented hyphae, which is compatible with dematiaceous fungi. After 3 weeks of posaconazole treatment, the patient developed a new pericardial effusion. Further investigations, including culture, cytology and histopathology, yielded negative results, leading to suspicion of reactive pericardial effusion associated with <jats:italic>V. gallopava<\/jats:italic> pulmonary infection. The patient received antifungal therapy for 9 months, after which a follow-up chest CT scan showed complete resolution of consolidation and pericardial effusion.<\/jats:p>","DOI":"10.1136\/bcr-2022-251835","type":"journal-article","created":{"date-parts":[[2023,7,20]],"date-time":"2023-07-20T12:36:49Z","timestamp":1689856609000},"page":"e251835","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Unusual manifestation of pulmonary <i>Verruconis gallopava<\/i> infection with synchronous reactive pericardial effusion in a non-transplanted patient"],"prefix":"10.1136","volume":"16","author":[{"given":"Napat","family":"Jirawat","sequence":"first","affiliation":[{"name":"Division of Pulmonary and Critical Care Medicine, Department of Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7864-3415","authenticated-orcid":false,"given":"Nophol","family":"Leelayuwatanakul","sequence":"additional","affiliation":[{"name":"Division of Pulmonary and Critical Care Medicine, Department of Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2023,7,20]]},"reference":[{"key":"2025082723562912000_16.7.e251835.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cmi.2016.01.011"},{"key":"2025082723562912000_16.7.e251835.2","doi-asserted-by":"crossref","first-page":"883","DOI":"10.3109\/13693786.2012.681075","article-title":"Ochroconis Gallopava infection in a patient with chronic granulomatous disease: case report and literature review","volume":"50","author":"Meriden","year":"2012","journal-title":"Med Mycol"},{"key":"2025082723562912000_16.7.e251835.3","doi-asserted-by":"publisher","DOI":"10.1086\/517075"},{"issue":"4 Pt 1","key":"2025082723562912000_16.7.e251835.4","first-page":"827","article-title":"Dactylaria infection of a human being: pulmonary disease in a heart transplant recipient","volume":"11","author":"Mancini","year":"1992","journal-title":"J Heart Lung Transplant"},{"key":"2025082723562912000_16.7.e251835.5","doi-asserted-by":"crossref","first-page":"900","DOI":"10.1016\/S1053-2498(00)00150-9","article-title":"Dactylaria Gallopava infection presenting as a pulmonary Nodule in a single-lung transplant recipient","volume":"19","author":"Burns","year":"2000","journal-title":"The Journal of Heart and Lung Transplantation"},{"key":"2025082723562912000_16.7.e251835.6","unstructured":"Bhat S , Bembi M , Ganesh S , et al . n.d. 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Multiple lung abscesses due to Ochroconis Gallopavum, a Dematiaceous fungus in a Nonimmunocompromised wood pulp worker. 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