Tuberc Respir Dis.  2015 Jul;78(3):276-280. 10.4046/trd.2015.78.3.276.

A Case of Pulmonary Cryptococcosis in an Immunocompetent Male Patient Diagnosed by a Percutaneous Supraclavicular Lymph Node Biopsy

Affiliations
  • 1Department of Internal Medicine, Bundang Jesaeng General Hospital, Seongnam, Korea. dhkim@dmc.or.kr
  • 2Department of Radiology, Bundang Jesaeng General Hospital, Seongnam, Korea.
  • 3Department of Pathology, Bundang Jesaeng General Hospital, Seongnam, Korea.

Abstract

Cryptococcal pneumonia usually occurs in immunocompromised patients with malignancy, acquired immune deficiency syndrome, organ transplantations, immunosuppressive chemotherapies, catheter insertion, or dialysis. It can be diagnosed by gaining tissues in lung parenchyma or detecting antigen in blood or bronchoalveolar lavage fluid. Here we report an immunocompetent 32-year-old male patient with diabetes mellitus diagnosed with cryptococcal pneumonia after a ultrasound-guided percutaneous supraclavicular lymph node core needle biopsy. We treated him with fluconazole at 400 mg/day for 9 months according to the guideline. This is the first case that cryptococcal pneumonia was diagnosed from a percutaneous lymph node biopsy in South Korea.

Keyword

Cryptococcosis; Pneumonia; Lymph Nodes; Biopsy, Fine-Needle

MeSH Terms

Acquired Immunodeficiency Syndrome
Adult
Biopsy*
Biopsy, Fine-Needle
Biopsy, Large-Core Needle
Bronchoalveolar Lavage Fluid
Catheters
Cryptococcosis*
Diabetes Mellitus
Dialysis
Drug Therapy
Fluconazole
Humans
Immunocompromised Host
Korea
Lung
Lymph Nodes*
Male
Organ Transplantation
Pneumonia
Transplants
Fluconazole
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