Diffuse pulmonary infiltrates as a roentgenographic manifestation of primary pulmonary plasmacytoma

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5926) is the only yeast that has been tested in doubleblind studies (1). The manufacturer claims that S boulardii is not identical to S cerevisiae (2). However, some authors consider S cerevisiae to be synonymous with S boulardii, and have successfully treated patients with baker’s yeast for C difficile diarrhea (5). Treatment with S boulardii has previously been shown to cause invasive fungal disease in 7 patients (6 –10). All of these cases occurred in debilitated or immunosuppressed patients who had central venous lines. All patients, like ours, recovered with systemic antimycotic treatment.

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