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  • Title: An unusual case of mediastinal mass due to Fonsecaea pedrosoi.
    Author: Singh N, Agarwal R, Gupta D, Shivaprakash MR, Chakrabarti A.
    Journal: Eur Respir J; 2006 Sep; 28(3):662-4. PubMed ID: 16946097.
    Abstract:
    Phaeohyphomycosis is a disease caused by dematiaceous fungi. Here, the first culture-proven case of mediastinal mass due to Fonsecaea pedrosoi is reported. The patient was a 40-yr-old male who had presented with history of dyspnoea and dysphagia. Computed tomography of the chest disclosed a mediastinal mass. Cultures of a specimen from the mediastinum grew Fonsecaea pedrosoi. The patient received amphotericin B and itraconazole and showed a remarkable recovery. Repeat computed tomography revealed a reduction in the mediastinal mass. The case highlights the need for a high degree of clinical suspicion and appropriate histopathological and mycological examination of clinical specimens.
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