Robertson S, Kovitz K L, Moroz K
Tulane University School of Medicine, New Orleans, La., USA.
J La State Med Soc. 1999 Aug;151(8):409-13.
A case of clinically unsuspected disseminated coccidioidomycosis diagnosed by different cytologic approaches and confirmed by mycological culture is reported. An African-American man presented with a clinical picture of pneumonia not responding to antibiotics. He subsequently developed a large neck mass and was found to have mediastinal and hilar adenopathy highly suspicious of a neoplastic process. Fine needle aspiration biopsy of the neck mass, followed by flexible bronchoscopy, was performed. Various cytologic approaches and techniques in rapid diagnosis of suspicious masses are discussed.
报告了一例通过不同细胞学方法诊断并经真菌培养确诊的临床未怀疑的播散性球孢子菌病。一名非裔美国男性表现出对抗生素无反应的肺炎临床症状。随后他出现了一个大的颈部肿块，发现纵隔和肺门淋巴结肿大，高度怀疑为肿瘤性病变。对颈部肿块进行了细针穿刺活检，随后进行了柔性支气管镜检查。讨论了在快速诊断可疑肿块中各种细胞学方法和技术。
