A Case of Pulmonary Cryptococcosis in an Immunocompetent Male Patient Diagnosed by a Percutaneous Supraclavicular Lymph Node Biopsy.
10.4046/trd.2015.78.3.276
- Author:
Ji Hee SUNG
1
;
Do Hoon KIM
;
Mi Jung OH
;
Kyoung Ju LEE
;
Young A BAE
;
Kye Won KWON
;
Seung Min LEE
;
Ho Joon KANG
;
Jinyoung CHOI
Author Information
1. Department of Internal Medicine, Bundang Jesaeng General Hospital, Seongnam, Korea. dhkim@dmc.or.kr
- Publication Type:Case Report
- Keywords:
Cryptococcosis;
Pneumonia;
Lymph Nodes;
Biopsy, Fine-Needle
- MeSH:
Acquired Immunodeficiency Syndrome;
Adult;
Biopsy*;
Biopsy, Fine-Needle;
Biopsy, Large-Core Needle;
Bronchoalveolar Lavage Fluid;
Catheters;
Cryptococcosis*;
Diabetes Mellitus;
Dialysis;
Drug Therapy;
Fluconazole;
Humans;
Immunocompromised Host;
Korea;
Lung;
Lymph Nodes*;
Male;
Organ Transplantation;
Pneumonia;
Transplants
- From:Tuberculosis and Respiratory Diseases
2015;78(3):276-280
- CountryRepublic of Korea
- Language:English
-
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.
