Pulmonary Cryptococcosis

Gordonson, J; Birnbaum, William; Jacobson, George; Sargent, E. Nicholas

doi:10.1148/112.3.557

Cited by 56 publications

(24 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Our findings are supported by some of the other series in the literature,4 5 although not by Khoury et al 3 who found no air space consolidation in nine immunocompetent patients.…”

Section: Discussionsupporting

confidence: 91%

“…In combination with other studies,4 10 this suggests that there is no significant lobar predilection in pulmonary cryptococcosis.…”

Section: Discussionsupporting

confidence: 75%

“…We found that, in non-AIDS patients with pulmonary cryptococcosis, masses and air space consolidation are common4 and atelectasis,14 lymphadenopathy,4 and pleural effusion or empyema4 15 16 are relatively rare. Our findings are supported by some of the other series in the literature,4 5 although not by Khoury et al 3 who found no air space consolidation in nine immunocompetent patients.…”

Section: Discussionmentioning

confidence: 82%

See 2 more Smart Citations

Cryptococcosis in HIV negative patients: findings on chest radiography

Roebuck

Fisher

Currie

1998

Thorax

View full text Add to dashboard Cite

Background-The findings at chest radiography in HIV negative patients with cryptococcosis are said to diVer from those in HIV positive patients. No large series of HIV negative patients has been reported. Methods-A review of the medical charts and radiographs of 44 consecutive HIV negative patients with proven cryptococcosis was undertaken. Results-Air space consolidation involving one or more lobes was found in 15 patients (34%), one or more pulmonary masses in 13 patients (30%), and interstitial opacities in three patients (7%). No other radiographic finding was detected in more than one patient. Twelve of 23 patients (52%) with cryptococcal meningitis had abnormal chest radiographs, and 10 of 16 patients (62%) who presented with respiratory symptoms had air space consolidation. Conclusions-HIV negative patients tend to have diVerent radiographic findings from those reported in patients with AIDS. Cryptococcal meningitis in this group is usually associated with pulmonary mass(es) or a normal chest radiograph, whereas a respiratory presentation is usually associated with air space consolidation. (Thorax 1998;53:554-557)

show abstract

“…Our findings are supported by some of the other series in the literature,4 5 although not by Khoury et al 3 who found no air space consolidation in nine immunocompetent patients.…”

Section: Discussionsupporting

confidence: 91%

“…In combination with other studies,4 10 this suggests that there is no significant lobar predilection in pulmonary cryptococcosis.…”

Section: Discussionsupporting

confidence: 75%

Section: Discussionmentioning

confidence: 82%

See 1 more Smart Citation

Cryptococcosis in HIV negative patients: findings on chest radiography

Roebuck

Fisher

Currie

1998

Thorax

View full text Add to dashboard Cite

show abstract

“…A doença possui apresentações clínica e patológica variáveis (2) e pode manifestarse tanto em pacientes com a imunidade normal como em pacientes imunocomprometidos, que representam a maioria dos casos (3) . Fatores predisponentes para a criptococose incluem síndrome da imunodeficiência adquirida (SIDA), neoplasias hematológicas, transplante de órgão, terapia com corticóides, sarcoidose e doença de Hodgkin, dentre outras condições que comprometem a imunidade celular (4,5) . Todas estas condições devem ser previamente definidas, pois influenciam na morbidade e mortalidade dos pacientes, assim como as condições clínicas, laboratoriais e histopatológicas (6) .…”

unclassified

Criptococose pulmonar: aspectos na tomografia computadorizada

et al. 2003

View full text Add to dashboard Cite

A criptococose pulmonar é uma doença causada pelo Criptococcus neoformans, um fungo unimórfico que possui distribuição mundial, existindo na mesma forma tanto no seu habitat natural quanto em animais e humanos. A doença possui apresentações clínica e patológica variáveis e pode manifestar-se tanto em pacientes com a imunidade normal como em imunocomprometidos, que representam a maioria dos casos. Neste trabalho são analisados os aspectos encontrados nas tomografias computadorizadas do tórax de 14 pacientes com criptococose pulmonar confirmada. Os achados mais freqüentes na tomografia do tórax foram as massas e os nódulos pulmonares. Outros aspectos observados foram as áreas de escavação, as consolidações, o espessamento do interstício peribroncovascular e o reticulado difuso. Massa pulmonar foi o achado isolado mais comum (64,2%), seguido dos nódulos isolados ou múltiplos (35,7%). Doença pulmonar difusa foi vista em apenas 14,2% dos casos. Os lobos superiores foram os mais comprometidos, sendo a doença mais comum nas regiões anteriores. A tomografia do tórax permitiu avaliar com precisão o grau de comprometimento do parênquima pulmonar. Unitermos: Radiologia; Criptococose pulmonar; Tomografia computadorizada.Pulmonary cryptococcosis: computed tomography findings. Pulmonary cryptococcosis is caused by Cryptococcus neoformans, a world-wide distribution unimorphic fungus that exhibits the same form in its natural habitat, animals and humans. The disease presents variable clinical and pathologic features and occurs in immunocompetent and immunocompromised patients. We reviewed the computed tomography findings of 14 patients with confirmed pulmonary cryptococcosis. The most frequent computed tomography findings were masses and pulmonary nodules. Other abnormalities included cavities, areas of consolidation, peribronchovascular interstitial thickening and diffuse linear opacities. Pulmonary masses were the most frequent findings (64.2%), followed by nodules (35.7%) whereas diffuse pulmonary disease accounted for 14.2% of the cases. The most affected areas were the upper lobes and the anterior regions. Computed tomography scan of the chest allows a precise assessment of pulmonary parenchymal involvement in patients with pulmonary cryptococcosis. simples, nódulos múltiplos que evoluem para confluência ou escavação, consolidação segmentar, broncopneumonia bilateral ou padrão misto, derrame pleural e linfonodomegalias. Os pacientes com integridade da imunidade apresentam maior tendência à formação de nódulo, sem predileção lobar (7) . Neste trabalho foi realizado um estudo retrospectivo a partir das tomografias computadorizadas de tórax de 14 pacientes, provenientes de várias instituições médi-cas, objetivando demonstrar os aspectos tomográficos da criptococose pulmonar. A tomografia computadorizada representa uma importante etapa no diagnóstico desta doença, pois a partir deste exame é possível estabelecer uma correlação anátomo-clínica, evidenciar o grau de acometimento do parênquima pulmonar, a extensão da infecção (pl...

show abstract

“…Although single or multiple nodules have been reported to be the most frequent finding of pulmonary cryptococcosis on chest radiography and computed tomography (CT) (1)(2)(3)(4), the natural history of the nodular lesion is not well understood. Here, we report a case of pulmonary cryptococcosis which presented as a solitary focal ground-glass opacity (GGO) on high-resolution computed tomography (HRCT).…”

Section: Introductionmentioning

confidence: 99%