Difficult to Diagnose: An Unusual Cause of Cavitary Lung Lesion
| Autor: | Dipen Kadaria, Jonathan M Davis, Hallie E Norman |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Lung Diseases Male medicine.medical_specialty Antifungal Agents Itraconazole Biopsy 030204 cardiovascular system & hematology Pleural thickening Histoplasmosis 03 medical and health sciences 0302 clinical medicine Bronchoscopy medicine Humans Multiple Pulmonary Nodules Lung medicine.diagnostic_test Cavitary lung lesion Lung Diseases Fungal business.industry General Medicine Articles medicine.disease medicine.anatomical_structure 030220 oncology & carcinogenesis Surgical biopsy Radiology business Tomography X-Ray Computed medicine.drug |
| Zdroj: | The American Journal of Case Reports |
| ISSN: | 1941-5923 |
| Popis: | Patient: Male, 40-year-old Final Diagnosis: Histoplasmosis Symptoms: Dyspnea Medication:— Clinical Procedure: Bronchoscopy Specialty: Pulmonology Objective: Unknown ethiology Background: Cavitary lung lesions are commonly identified on thoracic imaging, but typically require further workup for definitive diagnosis. Case Report: Here, we present the case of a 40-year-old Middle Eastern male who presented with an unusual cause of cavitary lung lesion with associated pleural mass and pleural thickening. He underwent bronchoscopic biopsy and computer tomography (CT)-guided core needle biopsy, both of which were non-diagnostic. Surgical biopsy subsequently revealed hyalinized necrotizing granulomatous tissue, consistent with histoplasmosis, and the patient was treated with itraconazole, which he responded well to. Conclusions: This case demonstrates the importance of identifying unusual causes of cavitary lung lesions and emphasizes the role of using proper tissue sampling for diagnosis. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|