Three Cases of Cryptococcal Pleuritis Diagnosed by Thoracoscopy Under Local Anesthesia

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  • Funasaka Takashi
    Department of Respiratory Medicine, Ogaki Municipal Hospital
  • Nakashima Harunori
    Department of Respiratory Medicine, Ogaki Municipal Hospital
  • Fujiura Yuki
    Department of Respiratory Medicine, Ogaki Municipal Hospital
  • Mori Yuta
    Department of Respiratory Medicine, The University of Nagoya Hospital
  • Hori Sho
    Department of Respiratory Medicine, Ogaki Municipal Hospital
  • Kagajo Michiko
    Department of Respiratory Medicine, Ogaki Municipal Hospital
  • Abe Takashi
    Department of Respiratory Medicine, Ogaki Municipal Hospital
  • Ando Morihide
    Department of Respiratory Medicine, Ogaki Municipal Hospital
  • Shindo Jo
    Department of Respiratory Medicine, Ogaki Municipal Hospital

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Other Title
  • 局所麻酔下胸腔鏡検査で診断に至ったクリプトコッカス胸膜炎の3例

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<p>Background. Cryptococcal pleuritis is a rare disease. There are few case reports on cryptococcal pleuritis diagnosed by thoracoscopy under local anesthesia. Case 1. A 78-year-old man was referred to our hospital due to left pleural effusion on chest radiography. We performed thoracoscopy under local anesthesia for the diagnosis. Pleural culture was positive for Cryptococcus neoformans, and cryptococcal pleuritis was diagnosed. Case 2. A 79-year-old man was referred to our hospital due to left pleural effusion on chest radiography, and we performed thoracoscopy under local anesthesia for the diagnosis. Yeast-like fungi with capsule forms in pleural biopsy specimens were detected, and cryptococcal pleuritis was diagnosed histopathologically. Case 3. The patient was a 78-year-old man with corticosteroid therapy for cryptogenic organizing pneumonia. During treatment with corticosteroids, chest radiography showed right pleural effusion, and we performed thoracoscopy under local anesthesia. Pleural culture was positive for Cryptococcus neoformans, and cryptococcal pleuritis was diagnosed. Conclusion. A pleural biopsy via thoracoscopy under local anesthesia is useful for diagnosing cryptococcal pleuritis. </p>

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