title: Solitary pulmonary nodule: A rare presentation of pulmonary mucormycosis in an immunocompetent adult.
abstract: Pulmonary mucormycosis is a rare opportunistic infection of immunocompromised individuals. Here, we report a case of 70-year-old male, smoker presenting with high-grade fever for 2 weeks and episodes of hemoptysis. Contrast-enhanced computed tomography (CT) thorax revealed a solitary pulmonary nodule measuring 2.3 × 1.6 cm in the right upper lobe. CT guided fine needle aspiration cytology and true cut biopsy showed plenty of typical fungal hyphae consistent with the diagnosis of mucormycosis. Fungal culture confirmed the organism as mucor. Positron emission tomography-CT scan showed a non- 18 fluorodeoxy glucose avid nodule ruling out possibility of malignancy. Investigation did not reveal any evidence of immunosuppression. Patient was treated with intravenous liposomal amphotericin B for 4 weeks. Follow-up chest X-ray and CT scan after 6 weeks were normal.
authors.affiliation: Department of Pulmonary Medicine, Nil Ratan Sarkar Medical College and Hospital, Kolkata, West Bengal, India.
authors.forename: Supriya
authors.initials: S
authors.lastname: Sarkar
authors.affiliation: Department of Pulmonary Medicine, Nil Ratan Sarkar Medical College and Hospital, Kolkata, West Bengal, India.
authors.forename: Debraj
authors.initials: D
authors.lastname: Jash
authors.affiliation: Department of Pulmonary Medicine, Nil Ratan Sarkar Medical College and Hospital, Kolkata, West Bengal, India.
authors.forename: Arnab
authors.initials: A
authors.lastname: Maji
authors.affiliation: Department of Pulmonary Medicine, Nil Ratan Sarkar Medical College and Hospital, Kolkata, West Bengal, India.
authors.forename: Malay Kr
authors.initials: MK
authors.lastname: Maikap
keywords: Immunocompetent host; mucormycosis; pulmonary; solitary pulmonary nodule