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J Thorac Cardiovasc Surg 2005;130:924-925
© 2005 The American Association for Thoracic Surgery

Brief Communication

Pulmonary botryomycosis: A difficult diagnosis in the preoperative patient

Russell Hodgson, MBBS * , Shane A. Blackmore, MBBS, C. Peter Clarke, FRACS

Department of Surgery, Austin Health, Heidelberg, Victoria, Australia.

Received for publication May 11, 2005; accepted for publication June 7, 2005.

* Address for reprints: Russell Hodgson, MBBS, Department of Surgery, Austin Health, Studley Rd, Heidelberg, Victoria, 3084, Australia (Email: russell.hodgson@gmail.com).

The first 20% of the full text of this article appears below.


Formula

We report a case of primary pulmonary botryomycosis that is the first in English literature to be investigated with positron emission tomography (PET) scanning before operation. This is a rare chronic bacterial infection of the pulmonary system that is difficult to distinguish from bronchial carcinoma before operation.

Clinical Summary

We present the case of a 62-year-old woman from outback Victoria, Australia, who presented to her local doctor with left-sided chest wall pain. Her chest x-ray film demonstrated a large lesion in the left upper lobe. She had a history of migraines and mild osteoarthritis and had quit smoking 10 months earlier after a 15 pack per year habit. She was further investigated with a computed tomography (CT) scan, which demonstrated a large lesion in the left upper lobe adjacent to the pleura, and a PET scan (Figure 1). The PET scan confirmed high fluorine-18 deoxyglucose . . . [Full Text of this Article]






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