Mulch pneumonitis in CGD patient

Case number: 



A 33 year old known Chronic Granulomatous Disorder (CGD) male presented to A&E in respiratory distress and admitted with severe bibasal pneumonia. He had been laying mulch in his garden. He had not been taking any prophylactic antifungal agents. Oxygen therapy was commenced in conjunction with IV bacterial and fungal treatment with Amphotericin B (Fungizone®). Further consultation and an adverse reaction to the administration of Fungizone® led to a switch to IV Voriconazole 300mg BD. The patient declined a bronchoscopy, responded well to IV voriconazole and was discharged home 2 weeks post admission on maintenance voriconazole.


  • Aspergillus fumigatus