Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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A Case of Pulmonary Cryptococcosis in an Immunocompetent Male Patient Diagnosed by a Percutaneous Supraclavicular Lymph Node Biopsy

  • Sung, Ji Hee (Department of Internal Medicine, Bundang Jesaeng General Hospital) ;
  • Kim, Do Hoon (Department of Internal Medicine, Bundang Jesaeng General Hospital) ;
  • Oh, Mi-Jung (Department of Internal Medicine, Bundang Jesaeng General Hospital) ;
  • Lee, Kyoung Ju (Department of Internal Medicine, Bundang Jesaeng General Hospital) ;
  • Bae, Young A (Department of Radiology, Bundang Jesaeng General Hospital) ;
  • Kwon, Kye Won (Department of Pathology, Bundang Jesaeng General Hospital) ;
  • Lee, Seung Min (Department of Internal Medicine, Bundang Jesaeng General Hospital) ;
  • Kang, Ho Joon (Department of Internal Medicine, Bundang Jesaeng General Hospital) ;
  • Choi, Jinyoung (Department of Internal Medicine, Bundang Jesaeng General Hospital)
  • Received : 2014.08.27
  • Accepted : 2015.01.07
  • Published : 2015.04.30
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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.

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References

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