{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T03:55:30Z","timestamp":1790999730714,"version":"4.1.0"},"reference-count":13,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T00:00:00Z","timestamp":1786406400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T00:00:00Z","timestamp":1786406400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diagnostic Cytopathology"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    A 26\u2010year\u2010old immunocompetent woman with a history of noninvasive, low\u2010grade papillary urothelial carcinoma presented with persistent upper abdominal pain. Urine cytology, performed for bladder tumor surveillance, revealed globose, yeast\u2010like forms (10\u201330\u2009\u03bcm) with thick walls and multiple narrowly attached peripheral buds in a \u201cship wheel\u201d configuration\u2014morphology classically associated with\n                    <jats:italic>Paracoccidioides brasiliensis<\/jats:italic>\n                    . Three months later, morphologically identical organisms were identified on routine cervical Papanicolaou (Pap) test, confirmed by PAS and GMS stains on cell block material. Neither specimen showed significant inflammation or epithelial abnormality. Clinical and epidemiologic features were inconsistent with paracoccidioidomycosis: the patient was a young woman of reproductive age (male\u2010to\u2010female ratio 13\u201320:1 in chronic paracoccidioidomycosis), had no travel to an endemic region, and lacked pulmonary, mucocutaneous, or systemic disease. The morphologic findings were attributed to\n                    <jats:italic>Cokeromyces recurvatus<\/jats:italic>\n                    , a rare dimorphic mucormycete whose sporangiola are virtually indistinguishable from the multiple\u2010budding yeast cells of\n                    <jats:styled-content style=\"fixed-case\">\n                      <jats:italic>P. brasiliensis<\/jats:italic>\n                    <\/jats:styled-content>\n                    on cytologic preparations. This case is novel in two respects: (1) it represents the first reported simultaneous detection of\n                    <jats:styled-content style=\"fixed-case\">\n                      <jats:italic>C. recurvatus<\/jats:italic>\n                    <\/jats:styled-content>\n                    in both urine and cervical cytology from the same patient, demonstrating multisite genitourinary colonization and (2) identification via urine cytology performed for bladder tumor surveillance extends awareness of this organism beyond the Pap test setting to urinary cytopathology. With fewer than 15 published human cases, this report reinforces that morphology alone is insufficient for definitive fungal identification when an endemic dimorphic fungus is suspected, and that culture or molecular confirmation (broad\u2010range fungal PCR with DNA sequencing) is essential to avoid misdiagnosis and unnecessary prolonged antifungal therapy.\n                  <\/jats:p>","DOI":"10.1002\/dc.70200","type":"journal-article","created":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T09:08:46Z","timestamp":1786439326000},"page":"842-845","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Photo Quiz: Globose Yeast\u2010Like Forms With Multiple Peripheral Buds in Urine and Cervical Cytology"],"prefix":"10.1002","volume":"54","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8160-6869","authenticated-orcid":false,"given":"Adil","family":"Menon","sequence":"first","affiliation":[{"name":"Department of Pathology Case Western Reserve University  Cleveland Ohio USA"},{"name":"Department of Pathology MetroHealth Medical Center  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2405-5351","authenticated-orcid":false,"given":"Rachel","family":"Koch","sequence":"additional","affiliation":[{"name":"Department of Pathology Case Western Reserve University  Cleveland Ohio USA"},{"name":"Department of Pathology MetroHealth Medical Center  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8099-5364","authenticated-orcid":false,"given":"Caroline","family":"Abramovich","sequence":"additional","affiliation":[{"name":"Department of Pathology Case Western Reserve University  Cleveland Ohio USA"},{"name":"Department of Pathology MetroHealth Medical Center  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,11]]},"reference":[{"key":"e_1_2_7_2_1","volume-title":"Fungal Dimorphism","author":"San\u2010Blas F.","year":"2019"},{"key":"e_1_2_7_3_1","volume-title":"Larone's Medically Important Fungi: A Guide to Identification","author":"Westblade L. F.","year":"2023"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.4103\/cytojournal.cytojournal3517"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/104063870501700413"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.3390\/jof7080655"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.3390\/jof8101098"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.5858\/arpa.2011\u20100493\u2010cr"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/dc.23432"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1128\/jcm.32.3.843\u2010845.1994"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bmt.1700647"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1128\/jcm.34.10.2601\u20102603.1996"},{"key":"e_1_2_7_13_1","unstructured":"M. S.NucciandA.Lopes\u2010Colombo \u201cTreatment of Paracoccidioidomycosis \u201dUpToDate n.d. https:\/\/www.uptodate.com\/contents\/2422."},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1309\/ajcp99ooozsniscz"}],"container-title":["Diagnostic Cytopathology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/dc.70200","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/dc.70200","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/dc.70200","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T03:26:28Z","timestamp":1790997988000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/dc.70200"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,11]]},"references-count":13,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2026,11]]}},"alternative-id":["10.1002\/dc.70200"],"URL":"https:\/\/doi.org\/10.1002\/dc.70200","archive":["Portico"],"relation":{},"ISSN":["8755-1039","1097-0339"],"issn-type":[{"value":"8755-1039","type":"print"},{"value":"1097-0339","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,11]]},"assertion":[{"value":"2026-07-15","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-30","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-11","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}