title: Subcutaneous aspergillosis with coexisting atypical mycobacterial infection.
abstract: A 60-year-old woman, a known diabetic and asthmatic, was admitted for acute exacerbation of chronic obstructive pulmonary disease. Physical examination revealed two soft nodules in the left infra axillary region. Fine needle aspiration cytology (FNAC) showed fungal granulomatous reaction suggestive of fungal infection. Periodic acid Schiff stain (PAS stain) revealed PAS positive, acutely branching, septate fungal hyphae. Wet mount of the aspirate revealed plenty of pus cells and branching septate hyphae. Ziehl-Neelsen (ZN) stain showed moderate numbers of acid fast bacilli. Culture yielded Aspergillus flavus and Mycobacterium fortuitum.
authors.affiliation: Department of Microbiology, Sri Manakula Vinayagar Medical College and Hospital, Madagadipet, Pondicherry - 605107, India.
authors.forename: Jeyakumari
authors.initials: J
authors.lastname: Duraipandian
authors.forename: Gopal
authors.initials: G
authors.lastname: Rengasamy
authors.forename: Balamurugan
authors.initials: B
authors.lastname: Madasamy
authors.forename: Ambedkarraj
authors.initials: A
authors.lastname: Kulanthaivelu
authors.forename: Girija
authors.initials: G
authors.lastname: Subramanian
mesh_terms: D001228:Aspergillosis / Q000150:complications / Q000175:diagnosis* / Q000382:microbiology / Q000473:pathology; D001231:Aspergillus flavus / Q000302:isolation & purification*; D044963:Biopsy, Fine-Needle; D003881:Dermatomycoses / Q000150:complications / Q000175:diagnosis* / Q000382:microbiology / Q000473:pathology; D005260:Female; D006651:Histocytochemistry; D006801:Humans; D008853:Microscopy; D008875:Middle Aged; D009165:Mycobacterium Infections, Nontuberculous / Q000150:complications / Q000175:diagnosis* / Q000382:microbiology / Q000473:pathology; D019907:Mycobacterium fortuitum / Q000302:isolation & purification*; D017192:Skin Diseases, Bacterial / Q000150:complications / Q000175:diagnosis* / Q000382:microbiology / Q000473:pathology