Pulmonary Cryptococcosis Mimicking Primary Lung Cancer with Multiple Lung Metastases

Tuberculosis and Respiratory Diseases

article

Yu Seung Kim¹  In Hee Lee¹  Hyun Seon Kim¹  Su Sin Jin¹  Jong Hwan Lee¹  Sung-Kyoung Kim¹  So Hyang Song¹  Jinyoung Yoo²  Chi Hong Kim¹  Soon Seog Kwon¹ 

[1] Department of Internal Medicine, The Catholic University of Korea College of Medicine;Department of Pathology, The Catholic University of Korea College of Medicine

关键词: Cryptococcosis;    Lung Neoplasms;    Multiple Pulmonary Nodules;   

DOI  :  10.4046/trd.2012.73.3.182

学科分类：医学（综合）

来源: The Korean Academy of Tuberculosis and Respiratory Diseases

【 摘 要 】

Cryptococcosis is an invasive fungal infection, which is more common in immunocompromised patients. However, pulmonary cryptococcosis can occur in immunocompetent patients and should be considered on a differential diagnosis for nodular or mass-like lesions in chest radiograph. Recently, we experienced a patient with pulmonary cryptococcosis, successfully treated with oral fluconazole therapy. A 74-year-old female patient was referred for an evaluation of abnormal images, a large consolidative mass with multiple nodular consolidations and small nodules that mimics primary lung cancer with multiple lung to lung metastases. Computed tomography-guided lung biopsy confirmed the diagnosis of pulmonary cryptococcosis. The follow-up image taken after 4 months with oral fluconazole treatment showed marked improvement.

【 授权许可】

CC BY-NC