Fine needle aspiration cytology of primary isolated splenic Blastomyces dermatitidis. A case report.
BACKGROUND
Blastomyces dermatitidis is a dimorphic fungus; its usual port of entry is the lung. Although any organ system can be secondarily involved, non-pulmonary sites of primary infection have been reported.


METHODS
This is the first reported case of primary isolated splenic B dermatitidis. The diagnostic value of fine needle aspiration cytology was examined by comparing it with the only previously reported case of primary (not isolated) splenic B dermatitidis.


CONCLUSIONS
In patients with splenic involvement by B dermatitidis, cytologic evaluation can be prompt and diagnostic. FNA biopsy in patients with splenomegaly is safe and well tolerated.
Montes
M A
MA
Department of Pathology, Brigham and Women's Hospital, Boston, Massachusetts, USA.
DiNisco
S
S
Dry
S
S
Galvanek
E
E
D000328:Adult; D001707:Biopsy, Needle; D001758:Blastomyces; D001759:Blastomycosis / Q000175:diagnosis / Q000473:pathology*; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D013154:Spleen / Q000473:pathology*; D013163:Splenomegaly / Q000175:diagnosis / Q000473:pathology*