Open AccessSolitary pulmonary nodule: A rare presentation of pulmonary mucormycosis in an immunocompetent adult
Author(s) -
Supriya Sarkar,
Debraj Jash,
Arnab Kumar Maji,
Malay Kr. Maikap
Publication year - 2014
Publication title -
lung india
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.457
H-Index - 25
eISSN - 0974-598X
pISSN - 0970-2113
DOI - 10.4103/0970-2113.125991
Subject(s) - mucormycosis , medicine , nodule (geology) , malignancy , solitary pulmonary nodule , immunosuppression , radiology , biopsy , thorax (insect anatomy) , positron emission tomography , computed tomography , pathology , anatomy , paleontology , biology
Pulmonary mucormycosis is a rare opportunistic infection of immunocompromised individuals. Here, we report a case of 70-year-old male, smoker presenting with high-grade fever for 2 weeks and episodes of hemoptysis. Contrast-enhanced computed tomography (CT) thorax revealed a solitary pulmonary nodule measuring 2.3 × 1.6 cm in the right upper lobe. CT guided fine needle aspiration cytology and true cut biopsy showed plenty of typical fungal hyphae consistent with the diagnosis of mucormycosis. Fungal culture confirmed the organism as mucor. Positron emission tomography-CT scan showed a non- 18 fluorodeoxy glucose avid nodule ruling out possibility of malignancy. Investigation did not reveal any evidence of immunosuppression. Patient was treated with intravenous liposomal amphotericin B for 4 weeks. Follow-up chest X-ray and CT scan after 6 weeks were normal.