Pulmonary Cryptococcosis Mimicking Primary Lung Cancer with Multiple Lung Metastases.
10.4046/trd.2012.73.3.182
- Author:
Yu Seung KIM
1
;
In Hee LEE
;
Hyun Seon KIM
;
Su Sin JIN
;
Jong Hwan LEE
;
Sung Kyoung KIM
;
So Hyang SONG
;
Jinyoung YOO
;
Chi Hong KIM
;
Soon Seog KWON
Author Information
1. Department of Internal Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea. chihongk@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Cryptococcosis;
Lung Neoplasms;
Multiple Pulmonary Nodules
- MeSH:
Aged;
Biopsy;
Cryptococcosis;
Diagnosis, Differential;
Female;
Fluconazole;
Follow-Up Studies;
Humans;
Immunocompromised Host;
Lung;
Lung Neoplasms;
Multiple Pulmonary Nodules;
Neoplasm Metastasis;
Thorax
- From:Tuberculosis and Respiratory Diseases
2012;73(3):182-186
- CountryRepublic of Korea
- Language:English
-
Abstract:
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.
