Massive mediastinal cryptococcosis in a young immunocompetent patient

Pulmonary cryptococcosis with lymph node involvement is relatively rare in immunocompetent patients. We report a case of pulmonary cryptococcosis with massive mediastinal lymphadenopathy in an immunocompetent young patient. In this report, a 17-year-old boy presented with high-grade fever and persis...

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Autores principales: Okachi, Shotaro, Wakahara, Keiko, Kato, Daizo, Umeyama, Takashi, Yagi, Tetsuya, Hasegawa, Yoshinori
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley & Sons, Ltd 2015
Materias:
Case Reports
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4571737/
https://www.ncbi.nlm.nih.gov/pubmed/26392855
http://dx.doi.org/10.1002/rcr2.111
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author Okachi, Shotaro
Wakahara, Keiko
Kato, Daizo
Umeyama, Takashi
Yagi, Tetsuya
Hasegawa, Yoshinori
author_facet Okachi, Shotaro
Wakahara, Keiko
Kato, Daizo
Umeyama, Takashi
Yagi, Tetsuya
Hasegawa, Yoshinori
author_sort Okachi, Shotaro
collection PubMed
description Pulmonary cryptococcosis with lymph node involvement is relatively rare in immunocompetent patients. We report a case of pulmonary cryptococcosis with massive mediastinal lymphadenopathy in an immunocompetent young patient. In this report, a 17-year-old boy presented with high-grade fever and persistent cough. Chest X-ray and computed tomography showed massive mediastinal lymphadenopathy. Endobronchial ultrasound-guided transbronchial needle aspiration revealed histological evidence of cryptococcal lymphadenitis. He was treated with liposomal amphotericin B plus flucytosine followed by fluconazole and recovered.
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spelling pubmed-45717372015-09-21 Massive mediastinal cryptococcosis in a young immunocompetent patient Okachi, Shotaro Wakahara, Keiko Kato, Daizo Umeyama, Takashi Yagi, Tetsuya Hasegawa, Yoshinori Respirol Case Rep Case Reports Pulmonary cryptococcosis with lymph node involvement is relatively rare in immunocompetent patients. We report a case of pulmonary cryptococcosis with massive mediastinal lymphadenopathy in an immunocompetent young patient. In this report, a 17-year-old boy presented with high-grade fever and persistent cough. Chest X-ray and computed tomography showed massive mediastinal lymphadenopathy. Endobronchial ultrasound-guided transbronchial needle aspiration revealed histological evidence of cryptococcal lymphadenitis. He was treated with liposomal amphotericin B plus flucytosine followed by fluconazole and recovered. John Wiley & Sons, Ltd 2015-09 2015-05-29 /pmc/articles/PMC4571737/ /pubmed/26392855 http://dx.doi.org/10.1002/rcr2.111 Text en © 2015 The Authors. Respirology Case Reports published by John Wiley & Sons Ltd on behalf of The Asian Pacific Society of Respirology. http://creativecommons.org/licenses/by-nc/4.0/ This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Case Reports
Okachi, Shotaro
Wakahara, Keiko
Kato, Daizo
Umeyama, Takashi
Yagi, Tetsuya
Hasegawa, Yoshinori
Massive mediastinal cryptococcosis in a young immunocompetent patient
title Massive mediastinal cryptococcosis in a young immunocompetent patient
title_full Massive mediastinal cryptococcosis in a young immunocompetent patient
title_fullStr Massive mediastinal cryptococcosis in a young immunocompetent patient
title_full_unstemmed Massive mediastinal cryptococcosis in a young immunocompetent patient
title_short Massive mediastinal cryptococcosis in a young immunocompetent patient
title_sort massive mediastinal cryptococcosis in a young immunocompetent patient
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4571737/
https://www.ncbi.nlm.nih.gov/pubmed/26392855
http://dx.doi.org/10.1002/rcr2.111
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