2012, Number 1
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Med Int Mex 2012; 28 (1)
Simulator Coccidioidoma as lung cancer. Apropos of a case
Sánchez-Hernández CRG, Peña-Ruelas CI, Montemayor-Chapa M, González-Cabello D, Aguilar-Macías R
Language: Spanish
References: 12
Page: 77-80
PDF size: 343.02 Kb.
ABSTRACT
Coccidioidomycosis is caused by the dimorphic fungi Coccidioides spp. The endemic foci of coccidioidomicosis correspond to desert areas in the Western Hemisphere. The coccidioidomicosis is manifested in three clinical forms, primary pulmonary, pulmonary progressive and disseminated.
Case report: We report a case of a 33-year-old smoking man who presented hemoptysis. The chest X-ray and chest CT showed a nodule in the left lower lung lobe; flexible fiberoptic bronchoscopy showed bronchial lumen occlusion by a lesion; bronchoalveolar lavage and bronchial biopsy were performed and showed chronic nonspecific inflammation. Left lower lobectomy was performed under the diagnosis of lung cancer. Gross examination showed a coccidioidoma with histological evidence of spherules and arthroconidia.
Conclusion: A pulmonary nodule should be clinically suspicious for coccidioidomicosis, mainly in endemic areas. We presented the clinicopathologic features of a patient with coccidioidoma simulating a lung tumor.
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