EJMCR |

Case Report

Volume: 6 | Issue: 5 | Published: Aug 09, 2022 | Pages: 79 - 83 | DOI: 10.24911/ejmcr/173-1632298824

Bipolaris infection presenting as granulomatous pleuritis and mediastinal mass in a young immunocompetent man: a case report

Authors: Nadia Sharif , Sana Nasir , Niaz Hussain Soomro

Authors

Nadia Sharif

Assistant Professor, Ojha Institute of Chest Diseases, Department of Pulmonology, Dow University of Health Sciences, Karachi, Pakistan

ORCID

Sana Nasir

Department of Pulmonology, Ojha Institute of Chest Diseases, Dow University of Health Sciences, Karachi, Pakistan

Niaz Hussain Soomro

Department of Pulmonology, Ojha Institute of Chest Diseases, Dow University of Health Sciences, Karachi, Pakistan.

Publication History

Received: September 22, 2021

Accepted: May 22, 2022

Published: August 09, 2022

Abstract

Background: Bipolaris species are dematiaceous fungi that originally are plant pathogens but have been reported to cause a wide spectrum of diseases in both immunocompromised and immunocompetent human hosts. Case Presentation: We report a case of a young immunocompetent man who presented with fever, dry cough, and malaise. He had unilateral pleural effusion with mediastinal mass. Histopathology of pleura and mediastinal mass revealed granulomatous inflammation with fungal pseudohyphae. Tissue cultures grew Bipolaris species. He is on itraconazole with significant clinical improvement. Conclusion: This clinical presentation of Bipolaris infection has not been previously described. In Pakistan, where tuberculosis leuritis is frequently encountered, this case highlights that other rare causes of granulomatous pleuritis can also present in a similar fashion.

Keywords: Case report, Pheohyphomycosis, granulomatous pleuritis, Bipolaris infection, green

Pubmed Style

Nadia Sharif, Sana Nasir, Niaz Hussain Soomro. Bipolaris infection presenting as granulomatous pleuritis and mediastinal mass in a young immunocompetent man: a case report. EJMCR. 2022; 09 (August 2022): 79-83. doi:10.24911/ejmcr/173-1632298824

Web Style

Nadia Sharif, Sana Nasir, Niaz Hussain Soomro. Bipolaris infection presenting as granulomatous pleuritis and mediastinal mass in a young immunocompetent man: a case report. https://ejmcr.com/articles/1277 [Access: December 25, 2024]. doi:10.24911/ejmcr/173-1632298824

AMA (American Medical Association) Style

Vancouver/ICMJE Style

Nadia Sharif, Sana Nasir, Niaz Hussain Soomro. Bipolaris infection presenting as granulomatous pleuritis and mediastinal mass in a young immunocompetent man: a case report. EJMCR. (2022), [cited December 25, 2024]; 09 (August 2022): 79-83. doi:10.24911/ejmcr/173-1632298824

Harvard Style

Nadia Sharif, Sana Nasir, Niaz Hussain Soomro (2022) Bipolaris infection presenting as granulomatous pleuritis and mediastinal mass in a young immunocompetent man: a case report. EJMCR, 09 (August 2022): 79-83. doi:10.24911/ejmcr/173-1632298824

Chicago Style

Nadia Sharif, Sana Nasir, Niaz Hussain Soomro. "Bipolaris infection presenting as granulomatous pleuritis and mediastinal mass in a young immunocompetent man: a case report." 09 (2022), 79-83. doi:10.24911/ejmcr/173-1632298824

MLA (The Modern Language Association) Style

APA (American Psychological Association) Style

Nadia Sharif, Sana Nasir, Niaz Hussain Soomro (2022) Bipolaris infection presenting as granulomatous pleuritis and mediastinal mass in a young immunocompetent man: a case report. , 09 (August 2022), 79-83. doi:10.24911/ejmcr/173-1632298824