Pulmonary mucormycosis diagnosed by fine needle aspiration cytology -: A case report

被引:16
作者
Bakshi, NA [1 ]
Volk, EE [1 ]
机构
[1] St John Hosp & Med Ctr, Dept Pathol, Detroit, MI 48236 USA
关键词
mucormycosis; lung diseases; aspiration biopsy;
D O I
10.1159/000327640
中图分类号
R36 [病理学];
学科分类号
100104 ;
摘要
BACKGROUND: The usefulness of fine needle aspiration cytology (FNAC) in the diagnosis of lung lesions is well documented, Fungal lesions are among nonneoplastic lesions of the lung in which FNAC has proven a useful technique in both immunocompromised and immunocompetent patients. These include cryptococcosis, aspergillosis, histoplasmosis and coccidiodomycosis. Pulmonary mucormycosis, an aggressive fungal infection, is rarely diagnosed on FNAC. We report a case of isolated pulmonary mucormycosis diagnosed on FNAC. CASE: A 62-year-old renal transplant recipient with diabetes mellitus and hypertension, asymptomatic for four months, presented with tachypnea, generalized malaise and weakness. Radiologic studies showed all enlarging, cavitating lesion in the right lung. Computed tomography-guided fine needle aspiration performed oil the lung lesion showed fungal profiles with broad, ribbonlike, aseptate hyphae with right-angled branching consistent with the Zygomycetes class of fungi, which includes Rhizopus and Mucor species. Fungal cultures confirmed the presence of Rhizopus. The patient underwent right pneumonectomy, was placed on liposomal amphotericin B therapy and discharged with good pulmonary status and stable kidney function. CONCLUSION: FNAC is a useful technique in the diagnosis of pulmonary mucormycosis.
引用
收藏
页码:411 / 414
页数:4
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