Candida Pneumonia in a Case of Polymyositis Complicated with Interstitial Pneumonitis

We report a polymyositis patient who developedCandida pneumonia, whose clinical manifestations such as dry cough, dyspnea, fever and elevated LDH looked like a recurrence of interstitial pneumonitis (IP) which she had had at admission. The distribution of the lesions in high resolution computed tomography scan, the high serum level of β-d-glucan and positiveCandida antigen test led to make a diagnosis ofCandida pneumonia rather than IP, and fluconazole therapy was successful.