Candida Albicans Infection Masquerading as a Soft Tissue Tumour Diagnosed by Fine Needle Aspiration Cytology
Journal Title: Journal of Clinical and Diagnostic Research - Year 2017, Vol 11, Issue 7
Abstract
A 60-year-old male, diabetic presented with a soft tissue mass over the right forearm of 15 days duration. The swelling was 5 x 3 cm and a clinical diagnosis of neurofibroma was made. Fine Needle Aspiration Cytology (FNAC) was done using standard technique. Smears showed predominantly suppurative inflammation, foreign body giant cells, granulomas and fungal hyphae. KOH mount, culture and germ tube test was positive. Final diagnosis of fungal granuloma was made. Fungal infections should be included in the differential diagnosis of a soft tissue mass lesion. All soft tissue suppurative inflammatory lesions should be diligently screened to look for pathogens if any. Diagnostics in medicine have taken a major leap with advent of molecular technologies. Despite this, simple old traditional methods like FNAC supplemented by other basic laboratory techniques like KOH mount and culture still form the cream of a diagnostic laboratory and can come as a savior for the pathologist, the clinicians and the patients.
Authors and Affiliations
Krishnappa Amita, Abhishek Mandya Govind, Tony Pechiat, Sanjay Manchaih, Shivshankar Vijay Shankar
Keywords
Related Articles
- EP ID EP353727
- DOI 10.7860/JCDR/2017/26062.10227
- Views 45
- Downloads 0
Randomised Controlled Trial between Ultrasound Guided Femoral Nerve Block and Adductor Canal Block for Postoperative Pain and Functional Outcome in Anterior Cruciate Ligament Reconstruction
ABSTRACT Introduction: Femoral Nerve Block (FNB) is used as an adjunct to postoperative analgesia in Anterior Cruciate Ligament (ACL) reconstruction surgeries. However, it causes a reduction in quadriceps strength follow...
MR Imaging Features of Non Convulsive Status Epilepticus: A Great Masquerader
ABSTRACT Variable clinical presentation and overlapping imaging findings make Non Convulsive Status Epilepticus (NCSE) a diagnostic challenge. NCSE is known to be a heterogeneous disorder with varied causes and several s...
Primary Large Cell (Atypical) Ewing Sarcoma/Primitive Neuroectodermal Tumour of Kidney
ABSTRACT Primary Ewing Sarcoma/Primitive Neuroectodermal Tumour (ES/PNET) of the kidney is a rare entity. Here we describe a case of renal ES/PNET in 10-year-old girl who complained of abdominal pain and lump for a month...
Cardiac Myeloid Sarcoma: Review of Literature
Granulocytic Sarcomas (GS) also called as Myeloid Sarcomas (MS) or chloromas are the representatives of extramedullary infiltrates of immature myeloid cells including myeloblasts, promyelocytes and myelocytes. Primary ca...
Diagnostic Dilemma in a 15-Year-Old Boy with Recurrent Pneumococcal Meningitis
Recurrent bacterial meningitis is very rare phenomenon in paediatric age group. Finding the aetiology of recurrent meningitis often poses diagnostic challenge to clinicians. Among the several aetiologies, structural defi...