Enlarging pulmonary histoplasmoma associated with pulmonary tuberculosis.
Histoplasmosis is not a frequently reported infection from India. Similarity of its clinical and radiological features with pulmonary tuberculosis, may cause a difficult diagnostic dilemma when the two occur together. We report a case who initially presented with cavitary lesions over right lung responding well to anti tuberculosis chemotherapy but subsequently a small opacity present over the left upper zone showed a relentless increase till it attained a massive size few years later. Operative removal and histopathological examination of the mass confirmed it to be histoplasmoma. She became sputum AFB smear positive and culture negative for a short while during this period and this is explained on the basis of previous reports.
Tewari
S C
SC
Chauhan
M S
MS
Jayaswal
R
R
Rajan
R S
RS
Ahuja
J M
JM
D000328:Adult; D001706:Biopsy; D003937:Diagnosis, Differential; D005260:Female; D006660:Histoplasmosis / Q000175:diagnosis*; D006801:Humans; D008168:Lung / Q000473:pathology; D008172:Lung Diseases, Fungal / Q000175:diagnosis*; D015163:Superinfection / Q000175:diagnosis*; D014397:Tuberculosis, Pulmonary / Q000175:diagnosis*