PULMONARY MYCETOMA DUE TO CANDIDA ALBICANS MASQUERADING BRONCHOGENIC CARCINOMA IN A PATIENT WITH TYPE -2 DIABETES MELLITUS


Volume :

2

Issue :

2

Abstract :

Fungal lesions of lung presenting as a mass are called mycetomas. Mycetoma is a conglomeration of cellular debris and mucous with finely woven fungal hyphae present in a cavity in pulmonary parenchyma or a bronchus . The most common infections causing pulmonary mycetoma are aspergillus . Candida species causing pulmonary mycetoma is rare . A 70 year old patient of Diabetes and chronic obstructive pulmonary diseases (COPD), presented with acute on chronic respiratory symptoms. On contrast enhanced CT scan of thorax he was diagnosed as having a heterogeneously enhancing mass lesion in left lower lobe and minimal pleural effusion with a provisional diagnosis of neoplasm. Thorough examination of oral cavity revealed thrush. CT guided biopsy confirmed pulmonary candidiasis. Patient responded well to medical treatment. Only a few such cases have been reported in literature .

Keyword :

Candidiasis, Pulmonary Mycetoma, Bronchogenic carcinoma