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Selected Reports: ArticlesPulmonary Mucormycosis Presenting as an Endobronchial Lesion
Section snippets
CASE REPORT
A 56-year-old Hispanic man was admitted to the hospital for evaluation of cough, fever, chills and left-sided pleuritic chest pain of 2 weeks' duration. He was a type II diabetic and his diabetes had been poorly controlled by diet alone. Physical examination showed a normal head, ears, eyes, nose, and throat. Chest auscultation revealed decreased breath sounds over the entire left hemithorax. Results of the remainder of the examination were unremarkable. A complete blood cell count showed a
DISCUSSION
Our patient illustrates an unusual presentation of pulmonary mucormycosis presenting as an endobronchial mass. Given the patient's presentation, the diagnosis of malignancy with postobstructive pneumonia was considered most likely.
Endobronchial mucormycosis has been described in the literature and the lesions have been identified as gray-white mucoid material that frequently block a major airway.5, 6, 7, 8 The involved airways are typically edematous and necrotic.3,5 In our patient, no necrosis
REFERENCES (10)
- et al.
Clinical spectrum of pulmonary mucormycosis.
Chest
(1986) Endobronchial mucormycosis.
Chest
(1983)Mycosis mucorina: Ein beitrag zur kenntniss der menschlichem fadenpilzee krankunger.
Virchows Arch Pathol Anat
(1885)- Glazer G, Webb WR. Laryngeal papillomatosis with pulmonary spread in a 69-year-old man. AJR 1979;...
- et al.
Recurrent mucormycosis of the paranasal sinuses in an immunologically competent host.
Otolaryngol Head Neck Surg
(1992)
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Endobronchial mucormycosis: A rare clinical entity diagnosed by endobronchial cryobiopsy
2022, Respiratory Medicine Case ReportsCitation Excerpt :Bronchoscopy usually reveals granulation tissue and grey-white mucoid material that frequently blocks the airway. The airways involved are typically edematous and necrotic, or lesions with an appearance suggestive of a bronchial adenoma [8]. In many cases, it is postulated that a submucosal, invasive fungal infection causes a submucosal abscess, which presents as an endobronchial mass [9].
Mucormycosis: An emerging disease?
2006, Clinical Microbiology and InfectionCitation Excerpt :Mucormycosis usually occurs in the at-risk population alongside other common diseases, e.g., cytomegalovirus infection, bacterial infection or even other fungal diseases [202,203,205–207]. Endobronchial or tracheal lesions are common [197,208–215], and vascular involvement of great vessels may be a cause of fatal haemoptysis [216–224]. Symptoms may appear after near-drowning episodes [225], and the differential diagnosis of necrotising pneumonia or lung abscesses should be considered [204].
Pulmonary mucormycosis presenting as endobronchial tumours-case reports
2005, Respiratory Medicine ExtraMucormycosis in Systemic Lupus Erythematosus
2003, Seminars in Arthritis and RheumatismEmerging Mucormycosis: Problems and Treatments
2023, Fungi and Fungal Products in Human Welfare and Biotechnology