RESUMO
A 55-year-old man was admitted to the hospital for an elective herniorrhaphy. A significant past history of smoking and alcohol abuse was noted. The patient had no other complaints but a routine chest X-ray revealed an isolated left upper lobe mass. Laboratory tests were unrevealing and the impression was that the patient had a carcinoma. The surgical specimen consisted of a lobular mass containing multiple microabscesses. Grains consistent with actinomycosis were seen and the culture grew out Actinomyces meyeri. There was no other evidence of disease.
Assuntos
Actinomicose/diagnóstico , Pneumopatias/diagnóstico , Actinomicose/patologia , Actinomicose/cirurgia , Diagnóstico Diferencial , Humanos , Abscesso Pulmonar/diagnóstico , Pneumopatias/patologia , Pneumopatias/cirurgia , Neoplasias Pulmonares/diagnóstico , Masculino , Pessoa de Meia-IdadeRESUMO
A case of lung cavity with fungus ball is reported in a patient subsequent to the treatment of tuberculosis for a year. Fungal serologic titers for histoplasmin, blastomycin, coccidiodin, and aspergillin were negative. Surgical resection of the cavity and to be done because of episodes of hemoptysis. Numerous hyphae formed into a compact mass consistent with aspergilloma were seen in the cavity. The cultures for fungi were negative on material from the surgical specimen. Immunodiffusion studies of sera obtained prior to surgery were positive for Pseudallescheria boydii and very informative in assessing the correct morphologic characteristics of the organism.
