[Clinical studies of sixteen cases with pulmonary cryptococcosis mainly with respect to serum level of cryptococcal antigen].
Clinical studies of sixteen cases with pulmonary cryptococcosis, during the past six years between 1998 and 2004, were peformed mainly with respect to serum cryptococcal antigen titer. Serum cryptococcal antigen was positive in twelve of 16 cases, the other three cases were diagnosed by VATS, the other one by positive culture of cryptococcus in BALF. In these twelve cases, the serum cryptococcal antigen titer was continuously tested after treatment. The serum cryptococcal antigen titer decreased from half to 6 months after treatment. And the cryptococcal Ag changed to negative in six of the 12 cases by antifungal agents from 5 to 19 months. But four cases whose pneumonia was severe tended to have a high titer level of cryptococcal antigen and were positive for a long period. In the Chest CT of four pulmonary cryptococcosis case with negative cryptococcal antigen, all of the maximum nodule size was less than or equal to 15mm in diameter.
Dohtsu
Yasumasa
Y
Department of Medicine, Nagasaki Municipal Hospital.
Ishimatsu
Yuji
Y
Takatani
Hiroshi
H
Minami
Kazunori
K
Inoue
Keiji
K
Kohara
Norihiro
N
Yanagihara
Katsunori
K
Higashiyama
Yasuhito
Y
Miyazaki
Yoshitsugu
Y
Hirakata
Yoichi
Y
Kohno
Shigeru
S
D000328:Adult; D000368:Aged; D000946:Antigens, Fungal / Q000097:blood*; D003453:Cryptococcosis / Q000000981:diagnostic imaging / Q000276:immunology*; D003454:Cryptococcus / Q000276:immunology*; D005260:Female; D006801:Humans; D008172:Lung Diseases, Fungal / Q000000981:diagnostic imaging / Q000276:immunology*; D008297:Male; D008875:Middle Aged; D013902:Radiography, Thoracic
D000946:Antigens, Fungal