Pancoast’s Syndrome due to Fungal Abscess in the Apex of Lung in an Immunocompetent Individual: A Case Report and Review of the Literature

Malignant tumours in the apices of the lungs, especially bronchogenic carcinoma (Pancoast tumours), are the most common cause of Pancoast’ syndrome which presents with shoulder or arm pain radiating along the medial aspect of forearm and weakness of small muscles of hand with wasting of hypothenar e...

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Main Authors: Anirban Das, Sabyasachi Choudhury, Sumitra Basuthakur, Sibes Kumar Das, Angshuman Mukhopadhyay
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Pulmonology
Online Access:http://dx.doi.org/10.1155/2014/581876
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author Anirban Das
Sabyasachi Choudhury
Sumitra Basuthakur
Sibes Kumar Das
Angshuman Mukhopadhyay
author_facet Anirban Das
Sabyasachi Choudhury
Sumitra Basuthakur
Sibes Kumar Das
Angshuman Mukhopadhyay
author_sort Anirban Das
collection DOAJ
description Malignant tumours in the apices of the lungs, especially bronchogenic carcinoma (Pancoast tumours), are the most common cause of Pancoast’ syndrome which presents with shoulder or arm pain radiating along the medial aspect of forearm and weakness of small muscles of hand with wasting of hypothenar eminence due to neoplastic involvement of C8 and T1 and T2 nerve roots of brachial plexus. There are a number of benign conditions which may lead to Pancoast’s syndrome; fungal abscess located in the apex of lung is one of them. Oral or intravenous antifungals are the treatment of choice in this case and complete recovery is usual, whereas, surgical resection followed by chemoradiotherapy is the treatment of choice in case of Pancoast’s syndrome due to lung cancers. Hence, tissue diagnosis is mandatory. Here, we report a case of apical fungal abscess causing Pancoast’s syndrome in an immunocompetent individual of 35 years of age to raise the awareness among the clinicians regarding this rare clinical entity.
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issn 2090-6846
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publishDate 2014-01-01
publisher Wiley
record_format Article
series Case Reports in Pulmonology
spelling doaj-art-512ff72d836e488a982caea64d9dc1632025-08-20T02:05:17ZengWileyCase Reports in Pulmonology2090-68462090-68542014-01-01201410.1155/2014/581876581876Pancoast’s Syndrome due to Fungal Abscess in the Apex of Lung in an Immunocompetent Individual: A Case Report and Review of the LiteratureAnirban Das0Sabyasachi Choudhury1Sumitra Basuthakur2Sibes Kumar Das3Angshuman Mukhopadhyay4Department of Pulmonary Medicine, Medical College, Kolkata, West Bengal, IndiaDepartment of Pulmonary Medicine, Medical College, Kolkata, West Bengal, IndiaDepartment of Pulmonary Medicine, Medical College, Kolkata, West Bengal, IndiaDepartment of Pulmonary Medicine, Medical College, Kolkata, West Bengal, IndiaDepartment of Pulmonary Medicine, Medical College, Kolkata, West Bengal, IndiaMalignant tumours in the apices of the lungs, especially bronchogenic carcinoma (Pancoast tumours), are the most common cause of Pancoast’ syndrome which presents with shoulder or arm pain radiating along the medial aspect of forearm and weakness of small muscles of hand with wasting of hypothenar eminence due to neoplastic involvement of C8 and T1 and T2 nerve roots of brachial plexus. There are a number of benign conditions which may lead to Pancoast’s syndrome; fungal abscess located in the apex of lung is one of them. Oral or intravenous antifungals are the treatment of choice in this case and complete recovery is usual, whereas, surgical resection followed by chemoradiotherapy is the treatment of choice in case of Pancoast’s syndrome due to lung cancers. Hence, tissue diagnosis is mandatory. Here, we report a case of apical fungal abscess causing Pancoast’s syndrome in an immunocompetent individual of 35 years of age to raise the awareness among the clinicians regarding this rare clinical entity.http://dx.doi.org/10.1155/2014/581876
spellingShingle Anirban Das
Sabyasachi Choudhury
Sumitra Basuthakur
Sibes Kumar Das
Angshuman Mukhopadhyay
Pancoast’s Syndrome due to Fungal Abscess in the Apex of Lung in an Immunocompetent Individual: A Case Report and Review of the Literature
Case Reports in Pulmonology
title Pancoast’s Syndrome due to Fungal Abscess in the Apex of Lung in an Immunocompetent Individual: A Case Report and Review of the Literature
title_full Pancoast’s Syndrome due to Fungal Abscess in the Apex of Lung in an Immunocompetent Individual: A Case Report and Review of the Literature
title_fullStr Pancoast’s Syndrome due to Fungal Abscess in the Apex of Lung in an Immunocompetent Individual: A Case Report and Review of the Literature
title_full_unstemmed Pancoast’s Syndrome due to Fungal Abscess in the Apex of Lung in an Immunocompetent Individual: A Case Report and Review of the Literature
title_short Pancoast’s Syndrome due to Fungal Abscess in the Apex of Lung in an Immunocompetent Individual: A Case Report and Review of the Literature
title_sort pancoast s syndrome due to fungal abscess in the apex of lung in an immunocompetent individual a case report and review of the literature
url http://dx.doi.org/10.1155/2014/581876
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