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Case Study: April 2014
History
- A 50 year old male presents with a foreign body over the bulbar conjunctiva associated with inflammation.
- The foreign body is removed and sent for histology.
- See figures 1,2,3.
Questions
- What does fig 1 show?
- What is seen in fig 2 (note-this is just a H&E stain)
- Fig 3 is a Masson Fontana-what does the arrow indicate?
- What is the diagnosis?
Click to show answers
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- Foreign body with acute inflammation
- These are pigmented fungi
- The fungi contain melanin pigment.
- This is a foreign body associated with phaeohyphomycosis fungal implantation.
- These fungi have melanin in their walls and are septate and branching. The common phaehyphomycoses to affect humans include: Exophilia, Phialophora, Wangiella, Bipolaris, Exserohilum, Cladophialophora, Aureobasidium, Cladosporium, Curvularia and Alternaria.
