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A Case of Pulmonary Cryptococcosis in an Immunocompetent Male Patient Diagnosed by a Percutaneous Supraclavicular Lymph Node Biopsy.

Sung JH, Kim do H, Oh MJ, Lee KJ, Bae YA, Kwon KW, Lee SM, Kang HJ, Choi J - Tuberc Respir Dis (Seoul) (2015)

Bottom Line: Cryptococcal pneumonia usually occurs in immunocompromised patients with malignancy, acquired immune deficiency syndrome, organ transplantations, immunosuppressive chemotherapies, catheter insertion, or dialysis.It can be diagnosed by gaining tissues in lung parenchyma or detecting antigen in blood or bronchoalveolar lavage fluid.We treated him with fluconazole at 400 mg/day for 9 months according to the guideline.

View Article: PubMed Central - PubMed

Affiliation: Department of Internal Medicine, Bundang Jesaeng General Hospital, Seongnam, Korea.

ABSTRACT
Cryptococcal pneumonia usually occurs in immunocompromised patients with malignancy, acquired immune deficiency syndrome, organ transplantations, immunosuppressive chemotherapies, catheter insertion, or dialysis. It can be diagnosed by gaining tissues in lung parenchyma or detecting antigen in blood or bronchoalveolar lavage fluid. Here we report an immunocompetent 32-year-old male patient with diabetes mellitus diagnosed with cryptococcal pneumonia after a ultrasound-guided percutaneous supraclavicular lymph node core needle biopsy. We treated him with fluconazole at 400 mg/day for 9 months according to the guideline. This is the first case that cryptococcal pneumonia was diagnosed from a percutaneous lymph node biopsy in South Korea.

No MeSH data available.


Related in: MedlinePlus

Three-month follow-up lung images. (A) Chest computed tomography (CT) scan showing markedly improved small nodules in both lungs after treatment with fluconazole for 3 months. (B) Chest CT scan showing improved lymphadenopathy noted on initial chest CT scan.
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Figure 3: Three-month follow-up lung images. (A) Chest computed tomography (CT) scan showing markedly improved small nodules in both lungs after treatment with fluconazole for 3 months. (B) Chest CT scan showing improved lymphadenopathy noted on initial chest CT scan.

Mentions: He was treated with fluconazole, 400 mg/day orally for 9 months according to the guideline6. He got a marked improvement in his symptoms such as fever, cough, and sputum. At his 3- and 9-month follow-ups, chest radiographs and CT scans of the chest showed a significant reduction of the innumerable small nodules and lymphadenopathy bilaterally. (Figures 3, 4)


A Case of Pulmonary Cryptococcosis in an Immunocompetent Male Patient Diagnosed by a Percutaneous Supraclavicular Lymph Node Biopsy.

Sung JH, Kim do H, Oh MJ, Lee KJ, Bae YA, Kwon KW, Lee SM, Kang HJ, Choi J - Tuberc Respir Dis (Seoul) (2015)

Three-month follow-up lung images. (A) Chest computed tomography (CT) scan showing markedly improved small nodules in both lungs after treatment with fluconazole for 3 months. (B) Chest CT scan showing improved lymphadenopathy noted on initial chest CT scan.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4499599&req=5

Figure 3: Three-month follow-up lung images. (A) Chest computed tomography (CT) scan showing markedly improved small nodules in both lungs after treatment with fluconazole for 3 months. (B) Chest CT scan showing improved lymphadenopathy noted on initial chest CT scan.
Mentions: He was treated with fluconazole, 400 mg/day orally for 9 months according to the guideline6. He got a marked improvement in his symptoms such as fever, cough, and sputum. At his 3- and 9-month follow-ups, chest radiographs and CT scans of the chest showed a significant reduction of the innumerable small nodules and lymphadenopathy bilaterally. (Figures 3, 4)

Bottom Line: Cryptococcal pneumonia usually occurs in immunocompromised patients with malignancy, acquired immune deficiency syndrome, organ transplantations, immunosuppressive chemotherapies, catheter insertion, or dialysis.It can be diagnosed by gaining tissues in lung parenchyma or detecting antigen in blood or bronchoalveolar lavage fluid.We treated him with fluconazole at 400 mg/day for 9 months according to the guideline.

View Article: PubMed Central - PubMed

Affiliation: Department of Internal Medicine, Bundang Jesaeng General Hospital, Seongnam, Korea.

ABSTRACT
Cryptococcal pneumonia usually occurs in immunocompromised patients with malignancy, acquired immune deficiency syndrome, organ transplantations, immunosuppressive chemotherapies, catheter insertion, or dialysis. It can be diagnosed by gaining tissues in lung parenchyma or detecting antigen in blood or bronchoalveolar lavage fluid. Here we report an immunocompetent 32-year-old male patient with diabetes mellitus diagnosed with cryptococcal pneumonia after a ultrasound-guided percutaneous supraclavicular lymph node core needle biopsy. We treated him with fluconazole at 400 mg/day for 9 months according to the guideline. This is the first case that cryptococcal pneumonia was diagnosed from a percutaneous lymph node biopsy in South Korea.

No MeSH data available.


Related in: MedlinePlus