A case of pulmonary histoplasmosis diagnosed after lung lobectomy
Abstract Background Histoplasmosis is considered a fairly rare imported mycosis in Japan. Here we report a case of histoplasmosis describing the preoperative findings, histopathological findings, supposed infection route, and appropriate treatment, including the postoperative management. Case presen...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2018-12-01
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| Series: | Surgical Case Reports |
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| Online Access: | http://link.springer.com/article/10.1186/s40792-018-0554-9 |
| _version_ | 1818553897163161600 |
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| author | Shun Tanaka Ryo Kobayashi Hiroyuki Nagita Kazuaki Okamoto Yuki Iida Kumiko Hongo Yukio Ishihara Yusuke Kita Naoki Takabayashi Ken Kuriki Takeyui Hiramatsu |
| author_facet | Shun Tanaka Ryo Kobayashi Hiroyuki Nagita Kazuaki Okamoto Yuki Iida Kumiko Hongo Yukio Ishihara Yusuke Kita Naoki Takabayashi Ken Kuriki Takeyui Hiramatsu |
| author_sort | Shun Tanaka |
| collection | DOAJ |
| description | Abstract Background Histoplasmosis is considered a fairly rare imported mycosis in Japan. Here we report a case of histoplasmosis describing the preoperative findings, histopathological findings, supposed infection route, and appropriate treatment, including the postoperative management. Case presentation A healthy 65-year-old man was found at routine medical check-up to have an abnormal opacity on chest radiography. A chest computed tomography (CT) scan showed a nodular lesion in the posterior basal segment of the right lung, as well as two smaller nodules in the same lobe. This was highly suggestive of primary lung cancer with pulmonary metastases in the same lobe. We thus performed a right lower lobectomy with hilar and mediastinal lymph node dissection via thoracotomy. The lesions were diagnosed as pulmonary histoplasmosis on histopathology. At 6-month follow-up examination, the patient was free from fungal infection without any postoperative medication. Conclusions We describe a patient with pulmonary histoplasmosis diagnosed following surgical lobectomy. The possibility of pulmonary histoplasmosis should be considered in the differential diagnosis of pulmonary nodular lesions. |
| first_indexed | 2024-12-12T09:31:49Z |
| format | Article |
| id | doaj.art-53f0a9e4851442379f2dad6be483c3d6 |
| institution | Directory Open Access Journal |
| issn | 2198-7793 |
| language | English |
| last_indexed | 2024-12-12T09:31:49Z |
| publishDate | 2018-12-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj.art-53f0a9e4851442379f2dad6be483c3d62022-12-22T00:28:50ZengSpringerOpenSurgical Case Reports2198-77932018-12-01411410.1186/s40792-018-0554-9A case of pulmonary histoplasmosis diagnosed after lung lobectomyShun Tanaka0Ryo Kobayashi1Hiroyuki Nagita2Kazuaki Okamoto3Yuki Iida4Kumiko Hongo5Yukio Ishihara6Yusuke Kita7Naoki Takabayashi8Ken Kuriki9Takeyui Hiramatsu10Department of Surgery, Yaizu City HospitalDepartment of Surgery, Yaizu City HospitalDepartment of Surgery, Yaizu City HospitalDepartment of Surgery, Yaizu City HospitalDepartment of Surgery, Yaizu City HospitalDepartment of Surgery, Yaizu City HospitalDepartment of Surgery, Yaizu City HospitalDepartment of Surgery, Yaizu City HospitalDepartment of Surgery, Yaizu City HospitalDepartment of Pathology, Yaizu City HospitalDepartment of Surgery, Yaizu City HospitalAbstract Background Histoplasmosis is considered a fairly rare imported mycosis in Japan. Here we report a case of histoplasmosis describing the preoperative findings, histopathological findings, supposed infection route, and appropriate treatment, including the postoperative management. Case presentation A healthy 65-year-old man was found at routine medical check-up to have an abnormal opacity on chest radiography. A chest computed tomography (CT) scan showed a nodular lesion in the posterior basal segment of the right lung, as well as two smaller nodules in the same lobe. This was highly suggestive of primary lung cancer with pulmonary metastases in the same lobe. We thus performed a right lower lobectomy with hilar and mediastinal lymph node dissection via thoracotomy. The lesions were diagnosed as pulmonary histoplasmosis on histopathology. At 6-month follow-up examination, the patient was free from fungal infection without any postoperative medication. Conclusions We describe a patient with pulmonary histoplasmosis diagnosed following surgical lobectomy. The possibility of pulmonary histoplasmosis should be considered in the differential diagnosis of pulmonary nodular lesions.http://link.springer.com/article/10.1186/s40792-018-0554-9Pulmonary histoplasmosisHistoplasma capsulatumImported mycosesLung cancerMetastatic lesions |
| spellingShingle | Shun Tanaka Ryo Kobayashi Hiroyuki Nagita Kazuaki Okamoto Yuki Iida Kumiko Hongo Yukio Ishihara Yusuke Kita Naoki Takabayashi Ken Kuriki Takeyui Hiramatsu A case of pulmonary histoplasmosis diagnosed after lung lobectomy Surgical Case Reports Pulmonary histoplasmosis Histoplasma capsulatum Imported mycoses Lung cancer Metastatic lesions |
| title | A case of pulmonary histoplasmosis diagnosed after lung lobectomy |
| title_full | A case of pulmonary histoplasmosis diagnosed after lung lobectomy |
| title_fullStr | A case of pulmonary histoplasmosis diagnosed after lung lobectomy |
| title_full_unstemmed | A case of pulmonary histoplasmosis diagnosed after lung lobectomy |
| title_short | A case of pulmonary histoplasmosis diagnosed after lung lobectomy |
| title_sort | case of pulmonary histoplasmosis diagnosed after lung lobectomy |
| topic | Pulmonary histoplasmosis Histoplasma capsulatum Imported mycoses Lung cancer Metastatic lesions |
| url | http://link.springer.com/article/10.1186/s40792-018-0554-9 |
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