Cryptococcal meningitis with pulmonary cryptococcoma in an immunocompetent patient: A case report

作     者：Kee Tat Lee Kar Ying Yong Hock Hin Chua Kee Tat Lee;Kar Ying Yong;Hock Hin Chua

作者机构：Department of MedicineMiri General HospitalSarawakMalaysia Infectious Disease UnitDepartment of MedicineSarawak General HospitalSarawakMalaysia 

出 版 物：《Asian Pacific Journal of Tropical Medicine》 (亚太热带医药杂志（英文版）)

年 卷 期：2020年第13卷第1期

页      面：46-48页

核心收录：

学科分类：1004[医学-公共卫生与预防医学(可授医学、理学学位)] 100401[医学-流行病与卫生统计学] 10[医学] 

基　　金：The authors acknowledge Dr.Suhashini pathologist from Sarawak General Hospital for providing figures of histopathological examination.We thank the Director-General of Health Malaysia for the permission to present these findings 

主　　题：Cryptococcoma Meningitis Immunocompetent Antifungal Lobectomy 

摘      要：Rationale:Cryptococcal infections commonly occur in immunosuppressed patients and are uncommon in immunocompetent *** concerns:A 32 year old lady,active smoker presented with right chest pain,dry cough and loss of *** chest radiograph showed a lobulated lung mass in the right lower *** developed headache and right cranial nerve palsy during *** investigations were done including lumbar puncture,brain and chest ***:Cryptococcal meningitis with pulmonary ***:She received five months of effective antifungal treatment;however,the patient did not respond ***,removal of pulmonary cryptococcoma was ***:Her condition improved and she no longer had any ***:Disseminated cryptococcosis is rare in immunocompetent *** case highlights the importance of high index of suspicion and we postulate that lobectomy helped in reducing the cryptococcal burden in her body,thus facilitating better response to antifungal therapy.