Oesophageal intramural pseudodiverticulosis presenting as non‐resolving pneumonia: A sinister cause diagnosed by EUS‐B‐FNA

Abstract We report a case of an oesophageal intramural pseudodiverticulosis leading to a mediastinal collection caused by Candida glabrata presenting as a non‐resolving pneumonia and mimicking an oesophageal mass. The patient was a 60‐year‐old diabetic male who was referred from another hospital and...

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Autores principales:	Sharad Joshi, Subhasish Majumdar, Ankit Bhatia, Nitesh Tayal
Formato:	article
Lenguaje:	EN
Publicado:	Wiley 2021
Materias:	endobronchial ultrasound pneumonia pseudodiverticulosis Diseases of the respiratory system RC705-779
Acceso en línea:	https://doaj.org/article/ef29ccf2a443477cb8496a086803bc33
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spelling	oai:doaj.org-article:ef29ccf2a443477cb8496a086803bc332021-11-25T13:46:30ZOesophageal intramural pseudodiverticulosis presenting as non‐resolving pneumonia: A sinister cause diagnosed by EUS‐B‐FNA2051-338010.1002/rcr2.879https://doaj.org/article/ef29ccf2a443477cb8496a086803bc332021-12-01T00:00:00Zhttps://doi.org/10.1002/rcr2.879https://doaj.org/toc/2051-3380Abstract We report a case of an oesophageal intramural pseudodiverticulosis leading to a mediastinal collection caused by Candida glabrata presenting as a non‐resolving pneumonia and mimicking an oesophageal mass. The patient was a 60‐year‐old diabetic male who was referred from another hospital and presented with a history of low‐grade fever and breathlessness. His computed tomography (CT) of the chest disclosed a mediastinal mass alongside the oesophagus with pleural collection. Endobronchial ultrasound scope was inserted through the oesophagus (EUS‐B) and fine‐needle aspirate was taken from the mass. The cultures of specimen from the mediastinum grew drug‐resistant C. glabrata. The patient was managed with oral voriconazole along with oesophageal stenting after which he showed remarkable recovery. Repeat CT revealed a near‐complete reduction of the mediastinal infection. The case highlights the need of a high degree of suspicion, right approach to diagnostic work‐up and appropriate histopathological and microbiological examination of clinical specimens.Sharad JoshiSubhasish MajumdarAnkit BhatiaNitesh TayalWileyarticleendobronchial ultrasoundpneumoniapseudodiverticulosisDiseases of the respiratory systemRC705-779ENRespirology Case Reports, Vol 9, Iss 12, Pp n/a-n/a (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	endobronchial ultrasound pneumonia pseudodiverticulosis Diseases of the respiratory system RC705-779
spellingShingle	endobronchial ultrasound pneumonia pseudodiverticulosis Diseases of the respiratory system RC705-779 Sharad Joshi Subhasish Majumdar Ankit Bhatia Nitesh Tayal Oesophageal intramural pseudodiverticulosis presenting as non‐resolving pneumonia: A sinister cause diagnosed by EUS‐B‐FNA
description	Abstract We report a case of an oesophageal intramural pseudodiverticulosis leading to a mediastinal collection caused by Candida glabrata presenting as a non‐resolving pneumonia and mimicking an oesophageal mass. The patient was a 60‐year‐old diabetic male who was referred from another hospital and presented with a history of low‐grade fever and breathlessness. His computed tomography (CT) of the chest disclosed a mediastinal mass alongside the oesophagus with pleural collection. Endobronchial ultrasound scope was inserted through the oesophagus (EUS‐B) and fine‐needle aspirate was taken from the mass. The cultures of specimen from the mediastinum grew drug‐resistant C. glabrata. The patient was managed with oral voriconazole along with oesophageal stenting after which he showed remarkable recovery. Repeat CT revealed a near‐complete reduction of the mediastinal infection. The case highlights the need of a high degree of suspicion, right approach to diagnostic work‐up and appropriate histopathological and microbiological examination of clinical specimens.
format	article
author	Sharad Joshi Subhasish Majumdar Ankit Bhatia Nitesh Tayal
author_facet	Sharad Joshi Subhasish Majumdar Ankit Bhatia Nitesh Tayal
author_sort	Sharad Joshi
title	Oesophageal intramural pseudodiverticulosis presenting as non‐resolving pneumonia: A sinister cause diagnosed by EUS‐B‐FNA
title_short	Oesophageal intramural pseudodiverticulosis presenting as non‐resolving pneumonia: A sinister cause diagnosed by EUS‐B‐FNA
title_full	Oesophageal intramural pseudodiverticulosis presenting as non‐resolving pneumonia: A sinister cause diagnosed by EUS‐B‐FNA
title_fullStr	Oesophageal intramural pseudodiverticulosis presenting as non‐resolving pneumonia: A sinister cause diagnosed by EUS‐B‐FNA
title_full_unstemmed	Oesophageal intramural pseudodiverticulosis presenting as non‐resolving pneumonia: A sinister cause diagnosed by EUS‐B‐FNA
title_sort	oesophageal intramural pseudodiverticulosis presenting as non‐resolving pneumonia: a sinister cause diagnosed by eus‐b‐fna
publisher	Wiley
publishDate	2021
url	https://doaj.org/article/ef29ccf2a443477cb8496a086803bc33
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Oesophageal intramural pseudodiverticulosis presenting as non‐resolving pneumonia: A sinister cause diagnosed by EUS‐B‐FNA

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