A case of pulmonary histoplasmosis diagnosed after lung lobectomy
| Autor: | Yukio Ishihara, Ken Kuriki, Ryo Kobayashi, Yuki Iida, Kazuaki Okamoto, Shun Tanaka, Yusuke Kita, Naoki Takabayashi, Hiroyuki Nagita, Kumiko Hongo, Takeyui Hiramatsu |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment lcsh:Surgery Metastatic lesions Case Report Histoplasmosis 03 medical and health sciences 0302 clinical medicine 030225 pediatrics medicine Thoracotomy Lung cancer Lung business.industry Imported mycoses lcsh:RD1-811 medicine.disease Histoplasma capsulatum Dissection medicine.anatomical_structure 030220 oncology & carcinogenesis Mediastinal lymph node Histopathology Pulmonary histoplasmosis Radiology Differential diagnosis business |
| Zdroj: | Surgical Case Reports, Vol 4, Iss 1, Pp 1-4 (2018) Surgical Case Reports |
| ISSN: | 2198-7793 |
| DOI: | 10.1186/s40792-018-0554-9 |
| Popis: | Background Histoplasmosis is considered a fairly rare imported mycosis in Japan. Here we report a case of histoplasmosis describing the preoperative findings, histopathological findings, supposed infection route, and appropriate treatment, including the postoperative management. Case presentation A healthy 65-year-old man was found at routine medical check-up to have an abnormal opacity on chest radiography. A chest computed tomography (CT) scan showed a nodular lesion in the posterior basal segment of the right lung, as well as two smaller nodules in the same lobe. This was highly suggestive of primary lung cancer with pulmonary metastases in the same lobe. We thus performed a right lower lobectomy with hilar and mediastinal lymph node dissection via thoracotomy. The lesions were diagnosed as pulmonary histoplasmosis on histopathology. At 6-month follow-up examination, the patient was free from fungal infection without any postoperative medication. Conclusions We describe a patient with pulmonary histoplasmosis diagnosed following surgical lobectomy. The possibility of pulmonary histoplasmosis should be considered in the differential diagnosis of pulmonary nodular lesions. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink