Pancoast's syndrome due to pulmonary infection with Cryptococcus neoformans variety gattii.
Immunocompetent hosts usually do not require antifungal therapy for pulmonary cryptococcosis. We present a case of right lung mass and Pancoast's syndrome due to locally invasive Cryptococcus neoformans variety gattii in a normal host. Lobectomy followed by therapy with amphotericin B and flucytosine was curative.
Mitchell
D H
DH
Department of Clinical Microbiology, University of Sydney, Westmead Hospital, New South Wales, Australia.
Sorrell
T C
TC
D000328:Adult; D000666:Amphotericin B / Q000627:therapeutic use; D000946:Antigens, Fungal / Q000097:blood; D003453:Cryptococcosis / Q000188:drug therapy / Q000382:microbiology*; D003455:Cryptococcus neoformans / Q000145:classification / Q000276:immunology / Q000302:isolation & purification*; D004359:Drug Therapy, Combination; D005437:Flucytosine / Q000627:therapeutic use; D006732:Horner Syndrome / Q000382:microbiology; D006801:Humans; D008168:Lung / Q000382:microbiology / Q000601:surgery; D008172:Lung Diseases, Fungal / Q000188:drug therapy / Q000382:microbiology*; D008297:Male; D010178:Pancoast Syndrome / Q000188:drug therapy / Q000382:microbiology*; D012703:Serotyping; D014057:Tomography, X-Ray Computed
D000946:Antigens, Fungal; D000666:Amphotericin B; D005437:Flucytosine