Lung abscess caused by Paecilomyces lilacinus

We report the case of a 57-year-old man who was referred to our department for further investigation of an abnormal chest shadow. Radiography on admis sion demonstrated a coin lesion in the right hilum. To make a final diagnos is, right middle lobectomy was performed and the mass was revealed to be a fungal abscess. Further examination confirmed that the fungus was Paecilomy ces lilacinus. This is the first reported case of lung abscess caused by P. lilacinus in an otherwise healthy person.