{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T12:20:00Z","timestamp":1788438000680,"version":"build-2803163510"},"reference-count":19,"publisher":"BMJ","issue":"5","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2026,5,4]]},"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:p>\n                    We present a case of allergic bronchopulmonary mycosis due to\n                    <jats:italic>Saccharomyces cerevisiae<\/jats:italic>\n                    mimicking lung cancer in an immunocompetent woman in her early 70s. She had a 6-week history of dry cough and chest X-ray changes concerning for malignancy. CT initially suggested primary lung cancer. Blood tests showed eosinophilia (4.2\u00d710\u2079\/L) and moderately elevated total IgE (296\u2009IU\/mL). Aspergillus precipitins were mildly raised (140 mgA\/L), but no\n                    <jats:italic>Aspergillus<\/jats:italic>\n                    -specific growth or serological sensitisation was found. She developed acute respiratory distress requiring emergency cardiothoracic intervention for near-total collapse of the left lung caused by occlusion of the left main bronchus, initially presumed malignant. Bronchoscopy revealed a large mucus plug obstructing the bronchus, which was removed, with no visual tumour. Bronchial washings showed reactive bronchial epithelium without malignancy, and sputum cultures taken during bronchoscopy identified\n                    <jats:italic>Saccharomyces cerevisiae<\/jats:italic>\n                    .\n                  <\/jats:p>","DOI":"10.1136\/bcr-2025-271346","type":"journal-article","created":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T12:30:24Z","timestamp":1779971424000},"page":"e271346","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["ABPM secondary to\n                    <i>Saccharomyces cerevisiae<\/i>\n                    mimicking lung cancer in an immunocompetent patient"],"prefix":"10.1136","volume":"19","author":[{"given":"Euan","family":"McGuigan","sequence":"first","affiliation":[{"name":"General Internal Medicine, NHS Lothian, Livingston, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harriet","family":"Hubbard","sequence":"additional","affiliation":[{"name":"General Internal Medicine, NHS Lothian, Livingston, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olivia","family":"Anderson","sequence":"additional","affiliation":[{"name":"Radiology, NHS Lothian, Livingston, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fraser","family":"Millar","sequence":"additional","affiliation":[{"name":"Respiratory Medicine, NHS Lothian, Edinburgh, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Malcolm","family":"Will","sequence":"additional","affiliation":[{"name":"Cardiothoracic Surgery, NHS Lothian, Edinburgh, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Santiago","family":"Giavedoni","sequence":"additional","affiliation":[{"name":"Respiratory Medicine, NHS Lothian, Edinburgh, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel","family":"Bramah","sequence":"additional","affiliation":[{"name":"General Internal Medicine, NHS Lothian, Livingston, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Iain","family":"Phillips","sequence":"additional","affiliation":[{"name":"Clinical Oncology, NHS Lothian, Edinburgh, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tracie","family":"Plant","sequence":"additional","affiliation":[{"name":"Respiratory Medicine, NHS Lothian, Livingston, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,5,27]]},"reference":[{"key":"2026090305101630000_19.5.e271346.1","doi-asserted-by":"crossref","first-page":"850","DOI":"10.1111\/cea.12141","article-title":"Allergic bronchopulmonary aspergillosis: review of literature and proposal of new diagnostic and classification criteria","volume":"43","author":"Agarwal","year":"2013","journal-title":"Clin Experimental Allergy"},{"key":"2026090305101630000_19.5.e271346.2","doi-asserted-by":"publisher","DOI":"10.1513\/pats.200908-086AL"},{"key":"2026090305101630000_19.5.e271346.3","doi-asserted-by":"publisher","DOI":"10.3109\/1040841X.2012.754401"},{"key":"2026090305101630000_19.5.e271346.4","doi-asserted-by":"crossref","DOI":"10.1002\/clt2.12327","article-title":"Clinical characteristics of allergic bronchopulmonary mycosis caused by Schizophyllum commune","volume":"14","author":"Oguma","year":"2024","journal-title":"Clin Transl Allergy"},{"key":"2026090305101630000_19.5.e271346.5","doi-asserted-by":"crossref","first-page":"257","DOI":"10.33160\/yam.2023.05.016","article-title":"The Clinical Characteristics of Allergic Bronchopulmonary Mycosis Differ Among Pathogenic Fungi","volume":"66","author":"Harada","year":"2023","journal-title":"Yonago Acta Med"},{"key":"2026090305101630000_19.5.e271346.6","doi-asserted-by":"crossref","first-page":"703","DOI":"10.1016\/j.jaip.2014.08.007","article-title":"Allergic bronchopulmonary aspergillosis","volume":"2","author":"Greenberger","year":"2014","journal-title":"J Allergy Clin Immunol Pract"},{"key":"2026090305101630000_19.5.e271346.7","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0015346","article-title":"An alternate method of classifying allergic bronchopulmonary aspergillosis based on high-attenuation mucus","volume":"5","author":"Agarwal","year":"2010","journal-title":"PLoS One"},{"key":"2026090305101630000_19.5.e271346.8","doi-asserted-by":"crossref","unstructured":"Kakarla B . 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