Cryptococcus neoformans abscess and osteomyelitis in an immunocompetent patient with tuberculous lymphadenitis.
Infection with Cryptococcus neoformans usually occurs in immunocompromised hosts and may occur in immunocompetent patients. Of all cryptococcal infections, 10-40% of patients have no apparent immune deficiency. Disseminated disease may occur in up to 62% of HIV-seronegative patients with cryptococcosis; however, cryptococcal osteomyelitis is rare. Here, we report an immunocompetent patient with cryptococcal vertebral osteomyelitis and concomitant tuberculous lymphadenitis. The patient received 12 weeks of fluconazole and a 1-year course of anti-tuberculous agents, with complete recovery.
Al-Tawfiq
J A
JA
Internal Medicine Services Division, Dhahran Health Center, Saudi Aramco Medical Services Organization, Saudi Aramco, Dhahran, 31311, Saudi Arabia. jaffar.tawfiq@aramco.com
Ghandour
J
J
D000038:Abscess / Q000188:drug therapy / Q000382:microbiology*; D000328:Adult; D000935:Antifungal Agents / Q000627:therapeutic use; D000995:Antitubercular Agents / Q000627:therapeutic use; D003453:Cryptococcosis / Q000150:complications* / Q000188:drug therapy / Q000382:microbiology*; D003455:Cryptococcus neoformans / Q000302:isolation & purification; D005260:Female; D015725:Fluconazole / Q000627:therapeutic use; D006801:Humans; D010019:Osteomyelitis / Q000188:drug therapy / Q000382:microbiology*; D013131:Spine / Q000473:pathology; D014388:Tuberculosis, Lymph Node / Q000150:complications*
D000935:Antifungal Agents; D000995:Antitubercular Agents; D015725:Fluconazole