A 48-year-old presented with prolonged fever and nausea. His body temperature was 38.5 °C, blood pressure 140/80 mmHg, heart rate 109 beats/min, with auscultatory sounds in the upper lobe of the left lung. He had normal white blood cell count, elevated C reactive protein, and his tuberculosis antibody tests were negative. CT scans showed a large solid mass in the upper left lobe of his lungs ( image ) with limited pericardial and pleural effusion, along with calcified lymphadenopathy of mediastinum. CT guided core biopsy was done.
While malignancy was ruled out, PCR and culture analysis revealed Histoplasma capsulatum. The patient was immunocompetent though histological findings suggested bronchocentric granulomatosis. What can be the probable diagnosis? * This case is from the Editorial team of Docplexus and is meant for educative purposes only. The correct answer is published in…
