PULMONARY MONILIASIS TREATED BY BRILLIANT GREEN AEROSOL: REPORT OF A CASE

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Abstract
There is no universal agreement upon the criteria necessary for a diagnosis of pulmonary moniliasis. This fungus frequently exists as a harmless saprophyte. To establish this diagnosis, the fungus should be isolated repeatedly from bronchial washings in the absence of other significant pathogens. The clinical pattern, skin tests, serologic tests, and the radiologic picture are not characteristic. A case is presented of a 30 year old male with a right lower lobe infiltration. Candida albicans was cultured from lung biopsy, sputa, bronchial washings and pleural fluid. The patient showed a dramatic response to the administration of brilliant green by O2 aerosol. As far as we knew, this is the 2d case of pulmonary moniliasis reported treated in this manner.

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