A Case of Primary Pulmonary Cryptococcosis associated with Pneumothorax.

• Shibuya Yasuhiro

  Department of Pulmonary Medicine, Jichi Medical School

• Kitamura Satoshi

  Department of Pulmonary Medicine, Jichi Medical School

• Sohara Yasunori

  Department of Thoracic Surgery, Jichi Medical School

• Saitoh Ken

  Department of Pathology, Jichi Medical School

Bibliographic Information

Other Title

• 治療経過中に両側肺に気胸を併発した原発性肺クリプトコックス症の１例

Abstract

We report a case of primary pulmonary cryptococcosis. A 20-year-old woman was admitted to the hospital complaining of coughing, fever, and dyspnea on exertion. She had no underling disease or immunological abnormality. Chest X-ray film revealed bilateral diffuse infiltrative shadows, which were first believed to have been caused by a community-acquired pneumonia. Pulomonary cryptococcosis was diagnosed from the results of a transbronchial lung biopsy. After 2.5 years of anti-mycotic chemotherapy with amphotericin B and flucytosine, pneumothorax occurred in the left lung. Thoracotomy and open lung biopsy were done. Histological findings of the open lung biopsy specimens showed numerous broken cryptococcal organisms within alveolar macrophages. Diffuse fibrosis accompanied by multiple bullae may have punctured bullae or blebs and thus led to pneumothorax.

Journal

• The Japanese journal of thoracic diseases

  The Japanese journal of thoracic diseases 33 (5), 548-552, 1995

  The Japanese Respiratory Society

Keywords

• Pulmonary cryptococcosis
• Pneumothorax
• Open lung biopsy
• <i>Cryptococcus neoformans</i>

Details

• CRID: 1390282679993135488
• NII Article ID: 10008107282
• NII Book ID: AN00187758
• DOI: 10.11389/jjrs1963.33.548
• ISSN: 1883471X
• ISSN: 03011542
• PubMed: 7609342
• Web Site: https://search.jamas.or.jp/link/ui/1996037842
• Text Lang: ja
• Data Source:
  • JaLC
  • PubMed
  • CiNii Articles
• Abstract License Flag: Disallowed