• Ann. Thorac. Surg. · Jan 2012

    Case Reports

    Anterior mediastinal mass secondary to histoplasmosis.

    • David D Shersher, Edward Hong, John Breard, William H Warren, and Michael J Liptay.
    • Department of General Surgery, Rush University Medical Center, Chicago, Illinois 60612-3824, USA.
    • Ann. Thorac. Surg. 2012 Jan 1;93(1):e9-10.

    AbstractHistoplasmosis in the mediastinum is an uncommon diagnosis that presents similarly to other benign and neoplastic conditions encountered in the chest. Here we describe a 36-year-old woman who presented with dyspnea secondary to a large anterior mediastinal mass that was biopsy and culture negative for neoplasm or infection. Video-assisted thoracoscopic surgery biopsy confirmed a large anterior mediastinal mass adherent to the aorta, which contained foci of histoplasmosis species. She is currently undergoing a long postoperative course of itraconozole and an empiric course of oral steroids to prevent development of fibrosing mediastinitis.Copyright © 2012 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

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