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Canadian Respiratory Journal
Volume 16, Issue 4, Pages e50-e52
Case Report

Recurrent Hemoptysis with Penicillium Marneffei and Stenotrophomonas Maltophilia in Job’s Syndrome

Bosco HM Ma,1 Calvin SH Ng,1 Rebecca KY Lam,2 Song Wan,1 Innes YP Wan,1 Tak Wai Lee,1 and Anthony PC Yim1

1Department of Surgery, The Chinese University of Hong Kong, Shatin, NT, Hong Kong SAR, China
2Department of Microbiology; Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, NT, Hong Kong SAR, China

Copyright © 2009 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Pulmonary infection caused by the opportunistic organisms Penicillium marneffei and Stenotrophomonas maltophilia in patients with Job’s syndrome is rare and not well documented. The case of a 30-year-old man with Job’s syndrome who developed recurrent pneumonia and lung abscesses caused by P marneffei and S maltophilia, complicated by massive hemoptysis, is described. Bronchial artery embolization was successful in controlling the hemoptysis; however, the infection proved fatal despite appropriate antimicrobial therapy. A brief review of the literature on Job’s syndrome and its associated infective pulmonary manifestations is also presented.