Correspondence

A case of autopsy-proven fungal pneumonia in a relapsed leukaemia patient is reported. The fungus Hormographiella aspergillata was cultured from two bronchoalveolar fluid samples and identified through morphological examination and ITS2 sequence analysis. In addition, galactomannan was detected in eight consecutive serum samples, which suggested a co-infection with Aspergillus species. The patient was treated with caspofungin. Case report In April 2003, a 34-year-old man was diagnosed with acute myeloid leukaemia. He responded favourably to remission-induction chemotherapy followed by two courses of inten-sive consolidation. In September 2003, the patient under-went an uncomplicated allogeneic peripheral blood stem cell transplantation from an HLA-identical sibling. However, a relapse was diagnosed in December 2003. Reinduction chemotherapy with high-dose cytarabine (3 g m2 b.i.d. for 4 consecutive days) was initiated, complicated by seriou