Pulmonary Mucormycosis Presenting as Horner's Syndrome

Abstract

Figure 1. Spiral CT-scan revealed a cystic lesion, emarginated by a capsule that was retained contrast, with a maximal diameter of 50 mm, at the apex of the left lung. vertebral foramen. (Figures 1 and 2). Fiberoptic bronchoscopy revealed that the left apical bronchus was extrinsically compressed. Brushing, bronchoalveolar lavage and transbronchial biopsy from the area, as well as transthoracic needle aspiration from the lesion were non-diagnostic.A 33-year-old, immunocompetent, female was hospitalized due to diabetic coma. After her recovery, physical examination revealed Horner's syndrome at the left. Chest radiograph revealed a left apical consolidation, while CT-scan and MRI showed that the lesion invaded the soft tissues up to the fi rst thoracic

A Case of a Retroesophageal Parathyroid Adenoma with an Aberrant Right Subclavian Artery: A Potential Surgical Pitfall

“…Ectopic parathyroid glands in the retroesophageal space are rare (3.2%) and are considered to be embryologically derived from the left superior parathyroid gland that descends along the tracheoesophageal groove. 2,3) In addition, this patient had an ARSA, which is the most common vascular ring anomaly with a prevalence of 0.5%-2%. We considered that this retroesophageal parathyroid adenoma with an ARSA was an even rarer case.…”

Fungal diseases mimicking primary lung cancer: radiologic–pathologic correlation

“…Mucormycoses are a group of invasive, often fatal, opportunistic infections caused by fungi belonging to the class Zygomycetes, order Mucorales. Most clinically significant infections are caused by fungi of the genera Lichtheimia, Rhizopus , Mucor and Cunninghamella . Risk factors for infection include haematologic malignancy, diabetes, organ transplantation, immunosuppression, graft‐vs.‐host disease and desferoxamine therapy.…”

“…This infection may be associated with mediastinal or hilar adenopathy, vascular invasion and extrapulmonary involvement . Horner's syndrome is rarely seen . Rarely, radiologic aspects of mucormycosis have been described to simulate lung neoplasm (Fig.…”

A rapidly progressing Pancoast syndrome due to pulmonary mucormycosis: a case report

“…Whereas stroke from rhinocerebral mucormycosis causing occlusion of the cavernous portion of the internal carotid is well documented [4], involvement of the brachial vascular and nervous plexus is a very unusual presentation. Three reports document mucormycosis presenting as a Pancoast syndrome [5-7]. Notably, two had diabetes (both survived) as their only risk factor and one had acute lymphoblastic leukemia (died).…”