Subcutaneous mycosis clinically diagnosed as lymphoma

Jaiswal Riddhi; Luhadia Nisha

Volume : VI, Issue : I, January - 2016

Subcutaneous mycosis clinically diagnosed as lymphoma

Jaiswal Riddhi, Luhadia Nisha

Abstract :

Diagnosis of certain benign conditions as fungal diseases is frequently missed for many reasons: (1) rarity of the lesion (2) requirement of careful search for diagnostic clues which are often sparse in clinical material such as tissue and exudates (3) often they elicit tissue reactions such as verrucous lesion and micro abscesses, misleading the diagnosis (4) lack of ‘clinical suspicion‘. Here is a case of an eleven–year–old boy who presented with verrucous lesions over nose, back of trunk and leg along with multiple gradually enlarging subcutaneous nodules over neck for last one year. The patient was otherwise healthy. Fine Needle Aspiration Cytology (FNAC) done from subcutaneous nodules showed some faintly stained anching fungal elements (Hematoxylin and Eosin stain). Gomori Methenamine Silver (GMS) stained the anching hyphae and budding yeasts black. Hence the diagnosis of Subcutaneous mycosis was made. The differentials we included were Chromoblastomycosis, sporotrichosis, blastomycosis, histoplasmosis.