An unusual case of mediastinal mass due to Fonsecaea pedrosoi. |
| |
Authors: | N Singh R Agarwal D Gupta M R Shivaprakash A Chakrabarti |
| |
Affiliation: | Dept of Pulmonary Medicine, Post Graduate Institute of Medical Education and Research, Chandigarh, India. navneetchd@yahoo.com |
| |
Abstract: | Phaeohyphomycosis is a disease caused by dematiaceous fungi. Here, the first culture-proven case of mediastinal mass due to Fonsecaea pedrosoi is reported. The patient was a 40-yr-old male who had presented with history of dyspnoea and dysphagia. Computed tomography of the chest disclosed a mediastinal mass. Cultures of a specimen from the mediastinum grew Fonsecaea pedrosoi. The patient received amphotericin B and itraconazole and showed a remarkable recovery. Repeat computed tomography revealed a reduction in the mediastinal mass. The case highlights the need for a high degree of clinical suspicion and appropriate histopathological and mycological examination of clinical specimens. |
| |
Keywords: | |
|
|