[A case of primary pulmonary cryptococcosis showing lobar pneumonia on chest X-ray].
A 36-year-old male who had been in good health visited our hospital because of fever, productive cough and lobar pneumonia of the right lower lobe. Bronchoscopic examination revealed pulmonary cryptococcosis. After the initiation of fluconazole the pneumonia started to improve, however, it was aggravated after the discontinuation of fluconazole because of liver dysfunction induced by it. The pulmonary cryptococcosis improved by lobectomy of the right lower lobe. There have been few reports of lobar pneumonia caused by primary pulmonary cryptococcosis. We report this case with fourteen other cases of primary pulmonary cryptococcosis which have been experienced in our hospital.
Kawamura
Tetsuji
T
Department of Internal Medicine, National Hospital Organization Himeji Medical Center.
Sasaki
Shin
S
Tanaka
Akira
A
Nakahara
Yasuharu
Y
Mochizuki
Yoshiro
Y
D000328:Adult; D003453:Cryptococcosis / Q000000981:diagnostic imaging* / Q000209:etiology; D006801:Humans; D008172:Lung Diseases, Fungal / Q000000981:diagnostic imaging* / Q000209:etiology; D008297:Male; D011018:Pneumonia, Pneumococcal / Q000150:complications / Q000000981:diagnostic imaging*; D013902:Radiography, Thoracic; D014057:Tomography, X-Ray Computed