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2011 ASCP Annual Meeting / 2011 ASCP Annual Meeting / WASPalm XXVI World Congress ... PDF

205 Pages·2011·62 MB·English
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Preview 2011 ASCP Annual Meeting / 2011 ASCP Annual Meeting / WASPalm XXVI World Congress ...

22001111 AASSCCPP AAnnnnuuaall MMeeeettiinngg // WWAASSPPaallmm XXXXVVII WWoorrlldd CCoonnggrreessss GGlloobbaall PPaatthhoollooggyy DDDDiiiiaaaaggggnnnnoooossssiiiissss ooooffff IIIInnnnffffeeeeccccttttiiiioooouuuussss DDDDiiiisssseeeeaaaasssseeeessss iiiinnnn SSuurrggiiccaall aanndd CCyyttooppaatthhoollooggyy wwiitthh MMiiccrroobbiioollooggyy RReeccoommmmeennddaattiioonnss SShheerrrrii YYoonngg,, MM..DD.. EEvvaa MM.. WWoojjcciikk,, MM..DD.. LLooyyoollaa UUnniivveerrssiittyy,, CChhiiccaaggoo,, IILL NNoo ffiinnaanncciiaall ddiisscclloossuurreess Dr. Yong Dr. Wojcik CCaassee 11 • 50 year old male was found to have a lung nodule •• HHiissttoorryy ooff ssmmookkiinngg • Immunocompetent • Outside travel significant for vacationing on Vancouver Island in British Columbia FFNNAA ooff LLuunngg MMaassss WWhhaatt ttoo ddoo?? • Culture – Minimum 2-3 drops in a sterile container –– FFlluusshh tthhee nneeeeddllee wwiitthh sstteerriillee ssaalliinnee aanndd sseenndd fflluuiidd – Fungal culture and direct smear (calcofluor) • Cell block – Special stains – Molecular studies if necessary CCeellll BBlloocckk MMuucciiccaarrmmiinnee GMS DDiiaaggnnoossiiss • Negative for malignancy. Fungal organism present, morphologically most consistent with CCrryyppttooccooccccuuss.. • Cultures: CCrryyppttooccooccccuuss nneeooffoorrmmaannss IIss tthhiiss eennoouugghh?? SSmmaalllleerr ssiizzeedd yyeeaassttss iinnvvoollvviinngg lluunngg 20 • Cryptococcosis • Sporotrichosis •• PPeenniicciilllliiuumm mmaarrnneeffffeeii • Pneumocystis jirovecii • Candida glabrata • Histoplasmosis capsulatum 0

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Eucalyptus trees and decaying hallows in living trees Associated with false negative Cryptococcal Cryptococcus gattii in immunocompetent hosts.
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