Simultaneous chronic pulmonary paracoccidiodomycosis and disseminated cryptococcosis in a non-HIV patient.
An unusual case of chronic pulmonary paracoccidiodomycosis and disseminated cryptococcosis in a non-HIV infected patient is reported in a 72-year-old previously healthy man. A chest radiograph disclosed a bilateral diffused interstitial infiltrate involving middle and lower lung fields. Specimen samples taken from the tracheal tube revealed yeast-like organisms suggestive of Cryptococcus neoformans and Paracoccidiodes brasiliensis. Blood and cerebrospinal fluid culture was positive for C. neoformans and the immunodiffusion test against paracoccidiodin revealed a precipitation band. The patient died 24 days after the admission.
Santos
José Wellington Alves Dos
JW
Pulmonary Disease Service, University Hospital of Santa Maria, Santa Maria, RS, Brazil. jwasb@yahoo.com
Silveira
Maurício Licks da
ML
Santos
Fábio Pires
FP
Mathias
Aline Costa
AC
Bertolazi
Alessandra Naimaier
AN
Melo
Carlos Renato Almeida
CR
Oliveira
Loiva Ottonelli de
LO
Severo
Luiz Carlos
LC
Oliveira
Flávio de Mattos
Fde M
D000368:Aged; D002908:Chronic Disease; D003453:Cryptococcosis / Q000150:complications* / Q000000981:diagnostic imaging; D003455:Cryptococcus neoformans / Q000302:isolation & purification*; D017809:Fatal Outcome; D016469:Fungemia; D018023:HIV Seronegativity; D006801:Humans; D008172:Lung Diseases, Fungal / Q000134:cerebrospinal fluid / Q000000981:diagnostic imaging / Q000382:microbiology*; D008297:Male; D010228:Paracoccidioides / Q000302:isolation & purification*; D010229:Paracoccidioidomycosis / Q000150:complications* / Q000000981:diagnostic imaging; D013183:Sputum / Q000382:microbiology; D014057:Tomography, X-Ray Computed; D014132:Trachea / Q000382:microbiology