How could pulmonary cryptococcosis in immunocompetents be suspected? Report of 6 cases

Santos, José Wellington Alves dos; Neves, Kelly Ribeiro; Santos, Fábio Pires de Souza; Gazzoni, Marcos Ferreira; Dalcin, Tiago Chagas; Fagundes, Ariovaldo Leal; Filho, Ayrton Schneider; Cibin, Luis Fernando Ximenes; Santos, Rafael Cristiano Geiss; Franciozi, Régis; Mann, Keli Cristina; Simon, Tiago Teixeira; Diniz, Aristeu

doi:10.1016/j.rmedx.2006.03.001

Cited by 5 publications

(2 citation statements)

References 22 publications

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“…Serum cryptococcal antigen plays an adjunctive role. 11 Our patient had cryptococcal infection rather than colonisation, as evidenced by granulomatous reaction and the presence of Cryptococcus organisms in the alveolar spaces of the pathology tissue specimen.…”

Section: Discussionmentioning

confidence: 72%

Isolated Pulmonary Cryptococcosis in an Immunocompetent Patient Presenting with Right Shoulder Pain: A Case Report and Review of the Literature

Cheung¹,

Wong

et al. 2008

Hong Kong Journal of Emergency Medicine

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Cryptococcosis is an important systemic fungal infection occurring predominantly in immunocompromised patients. We report a case of isolated pulmonary cryptococcosis in an ambulant middle-age lady who presented to the emergency department with right shoulder pain. The clue to lung pathology was right apical haziness best seen in the apical lordotic radiograph. The diagnosis was established by transbronchial lung biopsy. She did not have underlying immunosuppression or extrapulmonary disease. She was closely observed without anti-fungal therapy, and showed radiographic improvement during the five-month period of follow up.

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