Images in Clinical Medicine
Kim Eagle, M.D., Editor
Fungus Ball
N Engl J Med 1995; 332:91January 12, 1995
- Article
Figure 1 A 67-year-old man, adequately treated for tuberculosis 15 years previously, had a three-week history of hemoptysis that was not accompanied by fever, chills, malaise, night sweats, weight loss, or other systemic symptoms. He also had no chest pain, sputum production, or other pulmonary symptoms. He was not immunosuppressed. Linear tomography of the chest (Panel A) showed a cavity in the left upper lobe containing a round mass (large arrow) that was separated from the cavity wall by an air space (small arrow). Bronchoscopy performed preoperatively revealed no endobronchial lesion or tumor. Lobectomy was carried out for severe hemoptysis, and the presumptive diagnosis of fungus ball was confirmed. A tissue section obtained during lobectomy (Panel B) showed septate, dichotomously branching hyphae of aspergillus species (Gomori's methenamine silver, ×450).
Kim Eagle, M.D.
Rao S. Mikkilineni, M.D.
David Flores, M.D.
Jersey City Medical Center, Jersey City, NJ 07304- Citing Articles (1)
Citing Articles
1
Gori, Franca, Nesi, Gabriella, Pedemonte, Elena, . (2001) Aspergillus Fungus Balls on the Mitral Valve. New England Journal of Medicine 344:4, 310-311
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