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Postgraduate Education Corner: PULMONARY AND CRITICAL CARE PEARLS |

A 65-Year-Old Man With Odynophagia and a Lung Mass

Enrique Diaz-Guzman, MD; Carol Farver, MD; Jeffrey P. Kanne, MD; Atul C. Mehta, MD, FCCP
Author and Funding Information

*From the Department of Pulmonary, Allergy and Critical Care Medicine (Dr. Diaz-Guzman), Department of Pathology and Laboratory Medicine (Dr. Farver), Department of Radiology (Dr. Kanne), and Cleveland Clinic Lerner College of Medicine (Dr. Mehta), Section of Bronchology, Lung Transplantation Program, Cleveland Clinic, Cleveland, OH.

Correspondence to: Atul C. Mehta, MD, FCCP, Vice Chairman, Pulmonary, Allergy and Critical Care Medicine, Head Section of Bronchology, Medical Director–Lung Transplantation, The Cleveland Clinic, 9500 Euclid Ave, A90, Cleveland, OH 44195; e-mail: mehtaa1@ccf.org


The authors have no significant conflicts of interest with any companies/organizations whose products or services may be discussed in this article. The following represents original work that is not being considered or has been accepted for publication elsewhere. All authors have read and approved the manuscript for its submission.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (www.chestjournal.org/misc/reprints.shtml).


Chest. 2009;135(3):876-879. doi:10.1378/chest.08-1851
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Extract

A 65-year-old man with pulmonary fibrosis presented 6 months after single left-lung transplantation complaining of odynophagia. Initial evaluation at an outside institution included direct laryngoscopy, which revealed the presence of a mass at the base of the tongue. A biopsy specimen from the lesion showed necrotic material, and a Gram stain revealed pseudohyphae consistent with Candida albicans. Patient was transferred with a presumed diagnosis of a fungal mass.

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