Bronchiolitis obliterans organizing pneumonia caused by capsule-deficient cryptococcosis.
A 67-year-old diabetic man presented with progressive multifocal myeloradiculopathy for 6 months, with no pulmonary symptoms. A chest x-ray and CT scan of the lungs revealed bilateral multiple nodular infiltrates in the right upper lobe and the lower lobes bilaterally, mimicking metastases. A thoracoscopic lung biopsy demonstrated bronchiolitis obliterans organizing pneumonia caused by capsule-deficient cryptococcosis.
Chantranuwat
Chavit
C
Department of Pathology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand. chavit_ch@hotmail.com
Sittipunt
Chanchai
C
D000368:Aged; D003453:Cryptococcosis / Q000150:complications* / Q000473:pathology; D018549:Cryptogenic Organizing Pneumonia / Q000209:etiology* / Q000473:pathology; D006801:Humans; D008297:Male