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Cytodiagnosis of histoplasmosis: Case reports from two patients with variable clinical presentation
Author(s) -
Singh Sunita,
Chhabra Sonia,
Goyal Ruchi,
Garg Shilpa
Publication year - 2012
Publication title -
diagnostic cytopathology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.417
H-Index - 65
eISSN - 1097-0339
pISSN - 8755-1039
DOI - 10.1002/dc.21803
Subject(s) - histoplasmosis , medicine , dimorphic fungus , histoplasma capsulatum , lymph node , cytology , histoplasma , presentation (obstetrics) , lung , dermatology , surgery , pathology , genetics , biology , yeast
Histoplasmosis has emerged as an important opportunistic fungal infection in immunocompromised patients. Histoplasma is a dimorphic fungus that primarily involves lung and the environmental reservoir is soil. Although several cases of histoplasmosis have been reported in India but cytological diagnosis was made in a few cases. We are presenting two cases of histoplasmosis diagnosed on fine‐needle aspiration cytology. In the first case, pulmonary histoplasmosis was diagnosed on transbronchial needle aspiration of lung in a 41‐year‐old immunocompetent male, while second case was of disseminated histoplasmosis in 40‐year‐old immunocompromised female diagnosed on cytology of cervical lymph node. FNAC is a simple, safe, and rapid technique to establish the initial diagnosis, thus promoting early treatment and favorable outcome especially in the immunocompromised patients. Diagn. Cytopathol. 2011; © 2011 Wiley Periodicals, Inc.