Primary pulmonary botryomycosis with multiple adjacent organ involvement mimicking mucosa-associated lymphoid tissue lymphoma
Journal
Journal of the Formosan Medical Association
Journal Volume
104
Journal Issue
10
Pages
744-747
Date Issued
2005
Author(s)
Abstract
Botryomycosis is an unusual chronic suppurative disease characterized by the histological finding of sulphur granules containing the causative bacteria in an abscess. We describe a previously healthy 14-year-old girl who presented with chronic productive cough. Chest computed tomography (CT) revealed a right lower mass with involvement of the parietal pleura, chest wall, diaphragm, liver and costovertebral junction. Thoracostomy biopsy was performed due to suspicion of low-grade mucosa-associated lymphoid tissue lymphoma. However, histological analysis revealed a pulmonary botryomycosis. The right lower lung mass completely resolved after 3 months of antibiotics treatment. This case emphasizes that primary pulmonary botryomycosis with extensive contiguous involvement may not be distinguishable from lung cancer, lymphoma or fungal infection on chest CT.
Subjects
Diagnosis, differential; Gram-positive bacterial infection; Liver; Lymphoma, mucosa-associated lymphoid tissue
SDGs
Other Subjects
albumin; alpha 2 globulin; amoxicillin; ampicillin; antibiotic agent; beta globulin; C reactive protein; CD2 antigen; CD20 antigen; CD3 antigen; clavulanic acid; leukosialin; sulbactam; sulfur; adolescent; article; case report; chronic disease; computer assisted tomography; coughing; dyspnea; female; histopathology; hospital admission; human; human tissue; hypergammaglobulinemia; laboratory test; lung cyst; lung infection; lymphadenopathy; lymphocytosis; mucosa associated lymphoid tissue lymphoma; physical examination; pleura effusion; pneumonia; thorax drainage; thorax radiography; treatment outcome; Botrytis; diaphragm; differential diagnosis; isolation and purification; liver; lung mycosis; lung tumor; microbiology; mucosa associated lymphoid tissue lymphoma; pleura; thorax wall; vertebra; Adolescent; Botrytis; Diagnosis, Differential; Diaphragm; Female; Humans; Liver; Lung Diseases, Fungal; Lung Neoplasms; Lymphoma, Mucosa-Associated Lymphoid Tissue; Pleura; Thoracic Vertebrae; Thoracic Wall
Type
journal article