Blastomycosis: A Rare Cause of Pleural Effusion, Diagnosed on Cytology
Among fungal infections, fungal empyema (FE) is rare and has significant mortality. Microscopic examination of the pleural fluid plays an essential role in its diagnosis. Since pleural fluid can be obtained easily as a bedside procedure, yielding significant diagnostic material, other invasive and e...
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| Language: | English |
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Wolters Kluwer Medknow Publications
2024-11-01
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| Series: | Medical Journal of Dr. D.Y. Patil Vidyapeeth |
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| Online Access: | https://journals.lww.com/10.4103/mjdrdypu.mjdrdypu_773_23 |
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| author | Mayur Ambekar Archana C. Buch Mangesh Londhe |
| author_facet | Mayur Ambekar Archana C. Buch Mangesh Londhe |
| author_sort | Mayur Ambekar |
| collection | DOAJ |
| description | Among fungal infections, fungal empyema (FE) is rare and has significant mortality. Microscopic examination of the pleural fluid plays an essential role in its diagnosis. Since pleural fluid can be obtained easily as a bedside procedure, yielding significant diagnostic material, other invasive and expensive procedures can be avoided. The fungal elements identified in FE on microscopy can be yeasts, filamentous fungi, and dimorphic fungi. The morphology of spherical, thick-walled yeast cells showing broad-based budding is commonly seen in blastomycosis, coccidioidomycosis, and cryptococcosis. Though microbiological tests remain the gold standard, pleural fluid cytology with various special stains can be used as a rapid, reliable test for diagnosis. This has the advantages of prompt diagnosis, minimum expertise, and cost-effectiveness. We present a case of a 75-year-old male who presented with bilateral pleural effusion, the cytology of which revealed blastomycosis. |
| format | Article |
| id | doaj-art-d85fe6cc741a47159858ae2b500fbe37 |
| institution | OA Journals |
| issn | 2589-8302 2589-8310 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Medical Journal of Dr. D.Y. Patil Vidyapeeth |
| spelling | doaj-art-d85fe6cc741a47159858ae2b500fbe372025-08-20T01:59:08ZengWolters Kluwer Medknow PublicationsMedical Journal of Dr. D.Y. Patil Vidyapeeth2589-83022589-83102024-11-0117Suppl 2S394S39610.4103/mjdrdypu.mjdrdypu_773_23Blastomycosis: A Rare Cause of Pleural Effusion, Diagnosed on CytologyMayur AmbekarArchana C. BuchMangesh LondheAmong fungal infections, fungal empyema (FE) is rare and has significant mortality. Microscopic examination of the pleural fluid plays an essential role in its diagnosis. Since pleural fluid can be obtained easily as a bedside procedure, yielding significant diagnostic material, other invasive and expensive procedures can be avoided. The fungal elements identified in FE on microscopy can be yeasts, filamentous fungi, and dimorphic fungi. The morphology of spherical, thick-walled yeast cells showing broad-based budding is commonly seen in blastomycosis, coccidioidomycosis, and cryptococcosis. Though microbiological tests remain the gold standard, pleural fluid cytology with various special stains can be used as a rapid, reliable test for diagnosis. This has the advantages of prompt diagnosis, minimum expertise, and cost-effectiveness. We present a case of a 75-year-old male who presented with bilateral pleural effusion, the cytology of which revealed blastomycosis.https://journals.lww.com/10.4103/mjdrdypu.mjdrdypu_773_23fungusmicroscopypleural fluidspecial stains |
| spellingShingle | Mayur Ambekar Archana C. Buch Mangesh Londhe Blastomycosis: A Rare Cause of Pleural Effusion, Diagnosed on Cytology Medical Journal of Dr. D.Y. Patil Vidyapeeth fungus microscopy pleural fluid special stains |
| title | Blastomycosis: A Rare Cause of Pleural Effusion, Diagnosed on Cytology |
| title_full | Blastomycosis: A Rare Cause of Pleural Effusion, Diagnosed on Cytology |
| title_fullStr | Blastomycosis: A Rare Cause of Pleural Effusion, Diagnosed on Cytology |
| title_full_unstemmed | Blastomycosis: A Rare Cause of Pleural Effusion, Diagnosed on Cytology |
| title_short | Blastomycosis: A Rare Cause of Pleural Effusion, Diagnosed on Cytology |
| title_sort | blastomycosis a rare cause of pleural effusion diagnosed on cytology |
| topic | fungus microscopy pleural fluid special stains |
| url | https://journals.lww.com/10.4103/mjdrdypu.mjdrdypu_773_23 |
| work_keys_str_mv | AT mayurambekar blastomycosisararecauseofpleuraleffusiondiagnosedoncytology AT archanacbuch blastomycosisararecauseofpleuraleffusiondiagnosedoncytology AT mangeshlondhe blastomycosisararecauseofpleuraleffusiondiagnosedoncytology |