A Case of Cryptococcosis with a Large Lung Mass

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  • MORIYA Tomohiro
    Dept. of Respiratory Medicine, Tsuchiura Kyodo General Hospital
  • SHINMURA Takuya
    Dept. of Respiratory Medicine, Tsuchiura Kyodo General Hospital
  • KAWAKAMI Naoki
    Dept. of Respiratory Medicine, Tsuchiura Kyodo General Hospital
  • WAKAI Yoko
    Dept. of Respiratory Medicine, Tsuchiura Kyodo General Hospital
  • SAITO Kazuhito
    Dept. of Respiratory Medicine, Tsuchiura Kyodo General Hospital

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Other Title
  • 巨大腫瘤影を呈した肺クリプトコッカス症の1例
  • 症例報告 巨大腫瘤影を呈した肺クリプトコッカス症の1例
  • ショウレイ ホウコク キョダイ シュリュウエイ オ テイシタ ハイ クリプトコッカスショウ ノ 1レイ

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Abstract

In many patients with pulmonary cryptococcosis, chest radiographs show solitary or multiple nodular shadows, but pulmonary cryptococcosis with a large mass is rare. A previously healthy 45-year-old man presented to the hospital complaining of fever and cough. Contrast-enhanced computed tomography showed a tumor shadow with a long diameter of 64 mm in the lower lobe of the right lung. We considered the possibility of a lung abscess, but because it was refractory to antibiotics, we suspected the possibility of a malignant tumor. Transbronchial biopsy was performed, and Cryptococcus neoformans was detected. There were no complications of meningitis or immune deficiency, including acquired immune deficiency syndrome. He was administered antifungal drugs, and shrinkage of the shadow was achieved. Pulmonary cryptococcosis should also be considered when a large lung mass is observed.

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