Pulmonary Phaehyphomycosis in Retroviral Disease Patient

Ummu Afeera Binti Zainulabid ◽  
Muhammad Naimmuddin Bin Abdul Azih ◽  
Sasi Kumar A/L Maniyam ◽  
Azliana Binti Abd Fuaa ◽  
Mohd Radhwan Bin Abidin ◽  

Pulmonary phaeohyphomycosis is a rare infection in the lung caused by black fungi containing a cytoplasmic melanin-like pigment. A 42-year-old man with underlying retroviral disease on HAART was investigated for having constitutional symptoms. Despite undetectable viral load and a high CD4 count, he was found to have unexplained significant loss of weight and appetite over a period of 6 months. Clinical examination revealed a cachexic man with multiple inguinal lymphadenopathies. Excisional biopsy of the inguinal lymph node revealed reactive follicular hyperplasia. CT Thorax, Abdomen and Pelvis was arranged to look for occult malignancy or infection and he was found to have multiple non-enhancing subcentimeter lung nodules mainly at the lateral segment of the right middle lobe of his lung. The largest nodule measured about 0.8 x 1.5 x 0.5 (AP x W x CC), with some nodules having an irregular margin with no extension into the adjacent bronchi. Bronchoscopy was done and demonstrated a black patch at the right intermedius, lateral segment of the middle lobe which did not disappear upon bronchial flush or wash. Histopathological examination found focal areas of blackish pigment and the bronchial alveolar lavage sent for fungal culture grew Cladosporium species. The patient was treated with oral Itraconazole with marked clinical improvement. This case highlights an unusual black fungi infection in the lung that stands out not only for its rarity and it's responsiveness to treatment, but also the susceptibility of an RVD positive patient to this infection despite having suppressed viral load and normal CD4 count.International Journal of Human and Health Sciences Supplementary Issue-2: 2021 Page: S17

2016 ◽  
Vol 3 ◽  
pp. 345-345
Ricardo Buitrago ◽  
Adriana Serna ◽  
Diego González-Rivas ◽  
Rafael Beltrán ◽  
Carlos Mario Palacio ◽  

2015 ◽  
Vol 2015 ◽  
pp. 1-3
K. A. Kouassi ◽  
K. Kassi ◽  
K. Kouamé ◽  
M. A. Oussou ◽  
I. Kouassi ◽  

Melanoma is a malignant tumor rarely being described in sub-Saharan Africa. We reported an unusual and atypical clinical presentation. It was a 59-year-old patient who was hospitalized for a monomelic black tumor evolving for 10 years. Histopathological examination confirmed the melanocytic origin of this tumor. Paraclinical assessment did not find any visceral metastasis. A partial resection of the tumor was performed. The patient left the hospital against medical consent due to lack of technical facilities. The delay in the consultation and the lack of knowledge of melanoma by doctors and patients might contribute to the severity and the difficulties of its management.

CHEST Journal ◽  
2004 ◽  
Vol 125 (1) ◽  
pp. 38-42 ◽  
Adel K. Ayed

CHEST Journal ◽  
2008 ◽  
Vol 133 (6) ◽  
pp. 1474-1476 ◽  
Min Peter Kim ◽  
Armin Ernst ◽  
Malcolm M. DeCamp ◽  
Sidhu P. Gangadharan

2017 ◽  
Vol 4 ◽  
pp. 301-301
Kotaro Mizuno ◽  
Norihisa Ohata ◽  
Motoki Hatou ◽  
Hironori Tanaka

2017 ◽  
Vol 56 (6) ◽  
pp. 687-689 ◽  
Emi Yakushiji ◽  
Shinichiro Ota ◽  
Tomohiro Komatsu ◽  
Makoto Ayaori ◽  
Katsunori Ikewaki

2010 ◽  
Vol 46 (2) ◽  
pp. 138-142 ◽  
Marjorie E. Milne ◽  
Christina McCowan ◽  
Ben P. Landon

Spontaneous pneumothorax is rarely reported in the cat. This case report describes the use of computed tomography (CT) to diagnose pulmonary bullae in an adult cat with recurrent spontaneous pneumothorax. A large bulla in the right middle lung lobe and several blebs in other lobes were identified by CT. Partial lobectomy of the right middle and right and left cranial lung lobes was successfully performed to remove the affected portions of lung. Histopathological examination suggested bronchopulmonary dysplasia (BPD) as the underlying cause for development of the pulmonary bulla. This is the first case report in the veterinary literature describing the use of CT to identify pulmonary bullae in the cat with BPD as a possible underlying cause.

1992 ◽  
Vol 6 (2) ◽  
pp. 175-180
Junichi Shimada ◽  
Hidenori Nakai ◽  
Masato Muraoka ◽  
Shiaki Kawada ◽  
Tsuguo Naruke

2015 ◽  
Vol 8 (2) ◽  
pp. 89-91
D Ramesh ◽  
Grace Corrine Khong ◽  
V Sumathi

ABSTRACT Myoepithelioma is a rare tumor of the salivary glands. Only three cases of myoepithelioma in the nasal cavity have been reported. A 29-year-old male presented to us with epistaxis and nasal obstruction. There was a fleshy mass occupying the right middle meatus. Biopsy showed evidence of myoepithelioma and an endoscopic excision of the tumor was done. Histopathological examination of the resected tumor was consistent with myoepithelioma. Due to its rarity, the nature of the tumor is not known and regular follow-ups are needed for early detection of recurrence and malignancy. How to cite this article Ramesh D, Khong GC, Sumathi V. Myoepithelioma of the Nasal Cavity. Clin Rhinol An Int J 2015;8(2):89-91.

Lung India ◽  
2020 ◽  
Vol 37 (6) ◽  
pp. 530
MohanVenkatesh Pulle ◽  
BelalBin Asaf ◽  
HarshVardhan Puri ◽  
Arvind Kumar

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