Disseminated coccidioidomycosis. The role of cytology in multidisciplinary clinical approach and diagnosis.
A case of clinically unsuspected disseminated coccidioidomycosis diagnosed by different cytologic approaches and confirmed by mycological culture is reported. An African-American man presented with a clinical picture of pneumonia not responding to antibiotics. He subsequently developed a large neck mass and was found to have mediastinal and hilar adenopathy highly suspicious of a neoplastic process. Fine needle aspiration biopsy of the neck mass, followed by flexible bronchoscopy, was performed. Various cytologic approaches and techniques in rapid diagnosis of suspicious masses are discussed.
Robertson
S
S
Tulane University School of Medicine, New Orleans, La., USA.
Kovitz
K L
KL
Moroz
K
K
D001707:Biopsy, Needle; D001999:Bronchoscopy; D003045:Coccidioides / Q000302:isolation & purification; D003047:Coccidioidomycosis / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000382:microbiology; D003937:Diagnosis, Differential; D006801:Humans; D008168:Lung / Q000382:microbiology / Q000473:pathology; D008172:Lung Diseases, Fungal / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000382:microbiology; D008297:Male; D008875:Middle Aged; D009333:Neck / Q000000981:diagnostic imaging / Q000382:microbiology; D013902:Radiography, Thoracic; D014057:Tomography, X-Ray Computed