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CASE REPORT
Year : 2010  |  Volume : 53  |  Issue : 2  |  Page : 359-360

Subcutaneous aspergillosis with coexisting atypical mycobacterial infection


1 Department of Microbiology, Sri Manakula Vinayagar Medical College and Hospital, Madagadipet, Pondicherry - 605107, India
2 Department of Pathology, Sri Manakula Vinayagar Medical College and Hospital, Madagadipet, Pondicherry - 605107, India
3 Department of Medicine, Sri Manakula Vinayagar Medical College and Hospital, Madagadipet, Pondicherry - 605107, India

Correspondence Address:
Jeyakumari Duraipandian
Department of Microbiology, Sri Manakula Vinayagar Medical College and Hospital, Madagadipet, Pondicherry- 605 107
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0377-4929.64349

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A 60-year-old woman, a known diabetic and asthmatic, was admitted for acute exacerbation of chronic obstructive pulmonary disease. Physical examination revealed two soft nodules in the left infra axillary region. Fine needle aspiration cytology (FNAC) showed fungal granulomatous reaction suggestive of fungal infection. Periodic acid Schiff stain (PAS stain) revealed PAS positive, acutely branching, septate fungal hyphae. Wet mount of the aspirate revealed plenty of pus cells and branching septate hyphae. Ziehl-Neelsen (ZN) stain showed moderate numbers of acid fast bacilli. Culture yielded Aspergillus flavus and Mycobacterium fortuitum.


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