[A case of primary pulmonary cryptococcosis showing infiltrative shadows in the unilateral lung field].
A case of primary pulmonary cryptococcosis is reported. A 76-year-old man, without underlying disease or immunological abnormalities, was admitted to the hospital. Chest X-ray revealed diffuse infiltrative shadows considered at first to be community-acquired pneumonia. A diagnosis of pulmonary cryptococcosis was performed using fluconazole, miconazole and transbronchial inhalation of amphotericin B. Cryptococcal antigen detection was performed by two latex agglutination methods: Crypto-test and Sero-direct test (Eiken-test). Comparing the results of the two tests, sensitivity was superior with the Sero-direct test, but the correlation between the titers of the two tests was good.
Shibuya
Y
Y
Department of Pulmonary Medicine, Jichi Medical School, Tochigi, Japan.
Kitamura
S
S
D000368:Aged; D000666:Amphotericin B / Q000008:administration & dosage; D003453:Cryptococcosis / Q000000981:diagnostic imaging* / Q000188:drug therapy; D015725:Fluconazole / Q000008:administration & dosage; D006801:Humans; D008172:Lung Diseases, Fungal / Q000000981:diagnostic imaging* / Q000188:drug therapy; D008297:Male; D008825:Miconazole / Q000008:administration & dosage; D014057:Tomography, X-Ray Computed
D008825:Miconazole; D000666:Amphotericin B; D015725:Fluconazole