Clinical and Experimental Pediatrics

대한소아청소년과학회 (The Korean Pediatric Society)
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Isolated pulmonary cryptococcosis in an immunocompetent boy

  • Bauer, Siegfried (Department of Pediatrics, College of Medicine, Korea University) ;
  • Kim, Ji-Eun (Department of Pediatrics, College of Medicine, Korea University) ;
  • La, Kyong-Suk (Department of Pediatrics, College of Medicine, Korea University) ;
  • Yoo, Young (Department of Pediatrics, College of Medicine, Korea University) ;
  • Lee, Kee-Hyoung (Department of Pediatrics, College of Medicine, Korea University) ;
  • Park, Sang-Hee (Department of Pediatrics, College of Medicine, Korea University) ;
  • Choung, Ji-Tae (Department of Pediatrics, College of Medicine, Korea University) ;
  • Kim, Chul-Whan (Department of Pathology, College of Medicine, Korea University)
  • 투고 : 2010.06.04
  • 심사 : 2010.08.04
  • 발행 : 2010.11.15
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초록

Pulmonary cryptococcosis is rare in immunocompetent subjects. Here, we present the case of a 16-year-old boy who was referred to our pediatric department for the management of multiple consolidations detected on chest radiography, which was routinely performed when the patient was being evaluated for an ankle fracture. Fine needle aspiration biopsy was performed, and the definitive diagnosis was established as cryptococcal pneumonia. After 8 weeks of antifungal treatment, the pulmonary nodules on the chest radiographs disappeared.

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참고문헌

  1. Severo CB, Xavier MO, Gazzoni AF, Severo LC. Cryptococcosis in children. Pediatr Respir Rev 2009;10:166-71. https://doi.org/10.1016/j.prrv.2009.06.009
  2. Choe YH, Moon H, Park SJ, Kim SR, Han HJ, Lee KS, et al. Pulmonary cryptococcosis in asymptomatic immunocompetent hosts. Scan J Infect Dis 2009;41:602-7. https://doi.org/10.1080/00365540903036212
  3. Kishi K, Homma S, Kurosaki A, Kohno T, Motoi N, Yoshimura K. Clinical features and high-resolution CT findings of pulmonary cryptococcosis in non-AIDS patients. Respir Med 2006;100:807-12. https://doi.org/10.1016/j.rmed.2005.09.017
  4. Sweeney DA, Caserta MT, Korones DN, Casadevall A, Goldman DL. A ten-year-old boy with a pulmonary nodule secondary to Cryptococcus neoformans: case report and review of the literature. Pediatr Infect Dis J 2003;22:1089-93. https://doi.org/10.1097/01.inf.0000101916.33855.06
  5. Flood RG, Aronoff SC. Cryptococcus noeformans. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, editors. 18th ed. Nelson textbook of pediatrics. Philadelphia: Saunders Co, 2007;1310-12.
  6. Abadi J, Pirofski L. Antibodies reactive with the cryptococcal capsular polysaccharide glucuronoxylomannan are present in sera from children with and without human immunodeficiency virus infection. J Infect Dis 1999;180:915-9. https://doi.org/10.1086/314953
  7. Goldman DL, Khine H, Abadi J, Lindenberg DJ, Pirofski LA, Niang R, et al. Serologic evidence for Cryptococcus neoformans infection in early childhood. Pediatrics 2001;107:e66. https://doi.org/10.1542/peds.107.5.e66
  8. Nadrous HF, Antonios VS, Terrell CL, Ryu JH. Pulmonary cryptococcosis in nonimmunocompromised patients. Chest 2003;124:2143-7. https://doi.org/10.1378/chest.124.6.2143
  9. Lui G, Lee N, Ip M, Choi KW, Tso YK, Lam E, et al. Cryptococcosis in apparently immunocompetent patients. QJM 2006;99:143-51. https://doi.org/10.1093/qjmed/hcl014
  10. Kwon-Chung KJ, Bennett JE. Cryptococcosis. In: Kwon-Chung KJ, Bennett JE, editors. Medical mycology. Philadelphia: Lea & Febiger; 1992:397-446.
  11. Wu B, Liu H, Huang J, Zhang W, Zhnag T. Pulmoanry cryptococcosis in non-AIDS patients. Clin Invest Med 2009;32:e70-7. https://doi.org/10.25011/cim.v32i1.5090
  12. Kim H, Kang SJ, Suh GY, Chung MP, Kwon OJ, Rhee CH, et al. Predictors for benign solitary pulmonary nodule in tuberculosis-endemic area. Korean J Intern Med 2001;16:236-41. https://doi.org/10.3904/kjim.2001.16.4.236
  13. Lortholary O, Nunez H, Brauner MW, Dromer F. Pulmonary cryptococcosis. Semin Respir Crit Care Med 2004;25:145-57. https://doi.org/10.1055/s-2004-824899