Open AccessSubcutaneous aspergillosis with coexisting atypical mycobacterial infection
Author(s) -
D Jeyakumari,
Gopal Rengasamy,
Balamurugan Muthukutty,
AmbedkarRaj Kulanthaivelu,
Girija Subramanian
Publication year - 2010
Publication title -
indian journal of pathology and microbiology/indian journal of pathology and microbiology
Language(s) - Uncategorized
Resource type - Journals
eISSN - 0974-5130
pISSN - 0377-4929
DOI - 10.4103/0377-4929.64349
Subject(s) - septate , pathology , stain , periodic acid–schiff stain , aspergillosis , microbiology and biotechnology , aspergillus fumigatus , hypha , aspergillus , granuloma , medicine , biology , staining , immunology , botany
A 60-year-old woman, a known diabetic and asthmatic, was admitted for acute exacerbation of chronic obstructive pulmonary disease. Physical examination revealed two soft nodules in the left infra axillary region. Fine needle aspiration cytology (FNAC) showed fungal granulomatous reaction suggestive of fungal infection. Periodic acid Schiff stain (PAS stain) revealed PAS positive, acutely branching, septate fungal hyphae. Wet mount of the aspirate revealed plenty of pus cells and branching septate hyphae. Ziehl-Neelsen (ZN) stain showed moderate numbers of acid fast bacilli. Culture yielded Aspergillus flavus and Mycobacterium fortuitum.