Challenge of Ziehl-Neelsen stain for Basidiobolomycosis diagnosis in Indonesia: A unique case report

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Abstract

Background: Basidiobolomycosis is a rare fungal infection in Indonesia, so alternative investigations are needed to make a diagnosis. Case presentation: A 24-year-old male patient, Javanese, presented with Basidiobolomycosis. The patient had a lump on the right arm and face 2 years ago, and the tumor progressively grew up and extended to the right upper arm, neck, and face since 1 month ago. This paper discussed the challenge of Ziehl-Neelsen (ZN) stain as a diagnostic tool for Basidiobolomycosis that is a rare case in the world, especially in Indonesia. Discussion: Acid-fast stain has never been used to diagnose fungal cases in general, but it could describe the hyphae and Splendore-Hoeppli very clearly compared to the standard hematoxylin and eosin (HE) stains. Conclusion: ZN can be used as an alternative diagnosis of Basidiobolomycosis in a low-resource setting.

Original languageEnglish
Article number103278
JournalAnnals of Medicine and Surgery
Volume74
DOIs
Publication statusPublished - Feb 2022

Keywords

  • Acid-fast stain
  • Basidiobolomycosis
  • Splendore Hoeppli phenomenon

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