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

Tuberculosis and Respiratory Diseases

article

Ji Hee Sung¹  Do Hoon Kim¹  Mi-Jung Oh¹  Kyoung Ju Lee¹  Young A Bae²  Kye Won Kwon³  Seung Min Lee¹  Ho Joon Kang¹  Jinyoung Choi¹ 

[1] Department of Internal Medicine, Bundang Jesaeng General Hospital;Department of Radiology, Bundang Jesaeng General Hospital;Department of Pathology, Bundang Jesaeng General Hospital

关键词: Cryptococcosis;    Pneumonia;    Lymph Nodes;    Biopsy;    Fine-Needle;   

DOI  :  10.4046/trd.2015.78.3.276

学科分类：医学（综合）

来源: The Korean Academy of Tuberculosis and Respiratory Diseases

【 摘 要 】

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.

【 授权许可】

CC BY-NC