First report of Cryptococcus albidus--induced disseminated cryptococcosis in a renal transplant recipient.
Cryptococcus albidus, a non-neoformans species of the genus Cryptococcus, is generally regarded as a rare cause of disease. There have been only 14 previously reported cases in which this organism has been isolated as a pathogen, none of which occurred in a renal transplant recipient. A 23-year-old renal transplant recipient taking medication consisting of cyclosporine and prednisolone was admitted with a 10-day history of dry cough, fever and progressive dyspnea. The next day, his respiratory status deteriorated dramatically, and he developed acute respiratory distress syndrome (ARDS) and fulminant septic shock. On the eighth hospital day, tender macules on both his shins coalesced to form erythematous patches. Cryptococcus albidus was isolated by skin biopsy and tissue culture. We report here the first case of disseminated cryptococcosis caused by C. albidus in a renal transplant recipient who had been successfully treated with fluconazole monotherapy.
Lee
Yeon Ah
YA
Department of Internal Medicine, School of Medicine, Kyung Hee University, Seoul, Korea.
Kim
Hee Jin
HJ
Lee
Tae Won
TW
Kim
Myung Jae
MJ
Lee
Mu Hyoung
MH
Lee
Ju Hie
JH
Ihm
Chun Gyoo
CG
D000328:Adult; D000935:Antifungal Agents / Q000627:therapeutic use*; D003453:Cryptococcosis / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D016572:Cyclosporine / Q000009:adverse effects; D003937:Diagnosis, Differential; D015725:Fluconazole / Q000627:therapeutic use*; D006084:Graft Rejection / Q000517:prevention & control; D006801:Humans; D016867:Immunocompromised Host; D007166:Immunosuppressive Agents / Q000009:adverse effects; D016030:Kidney Transplantation; D008172:Lung Diseases, Fungal / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D008297:Male; D009894:Opportunistic Infections / Q000175:diagnosis / Q000382:microbiology*; D014057:Tomography, X-Ray Computed
D000935:Antifungal Agents; D007166:Immunosuppressive Agents; D016572:Cyclosporine; D015725:Fluconazole