在一名怀疑患有转移性骨肉瘤的无症状患者中,偶然诊断出了加拿大Emergomyces肺部感染。鉴于组织胞浆菌病的组织病理学特征重叠,分子诊断对于真菌鉴定至关重要。本报告记录了一名免疫功能正常的患者中的一例孤立性肺真菌病,同时讨论了这种新出现和未确诊的感染的诊断和管理陷阱。
Emergomyces canadensis pulmonary infection was incidentally diagnosed in an asymptomatic patient suspected to have metastatic osteosarcoma. Molecular diagnosis was imperative to fungal identification given overlapping histopathological features with histoplasmosis. This report documents a case of isolated pulmonary emergomycosis in an otherwise immunocompetent patient while discussing diagnostic and management pitfalls of this emerging and underdiagnosed infection.