title: [Cavitary pneumonia in an AIDS patient with cryptococcosis].
abstract: Pulmonary cryptococcosis is an unusual fungal infection that is most often found in AIDS or in organ transplant recipients. Although in immunocompromised patients, cryptococcal infection often causes pulmonary infections, the diagnosis of lung involvement is generally difficult. The presentation of pulmonary cryptoccosis in HIV-infected patients appears to be more acute and severe than in other immunocompromised patients, probably related with the severe immunosuppression. Diffuse infiltrates, mediastinal and hilar lymph nodes enlargement are the most common radiological findings in AIDS-associated pulmonary cryptococcosis. Cavitation is a rare form of and includes only 10% to 15% of all cases. Only a few case reports or studies with small number of patients of pulmonary cryptococcosis have been published over the past two decades. We report a case of an AIDS patient who developed cavitary pneumonia as the only clinical expression of cryptococcosis.
authors.affiliation: División de VIH/SIDA and Cátedra de Enfermedades Infecciosas (UBA), Hospital de Enfermedades Infecciosas F. J. Muñiz, Buenos Aires, Argentina. marcelocorti@fibertel.com.ar
authors.forename: Marcelo
authors.initials: M
authors.lastname: Corti
authors.forename: Norberto
authors.initials: N
authors.lastname: Trione
authors.forename: Karin
authors.initials: K
authors.lastname: Semorile
authors.forename: Omar
authors.initials: O
authors.lastname: Palmieri
authors.forename: Ricardo
authors.initials: R
authors.lastname: Negroni
authors.forename: Alicia
authors.initials: A
authors.lastname: Arechavala
mesh_terms: D017088:AIDS-Related Opportunistic Infections / Q000000981:diagnostic imaging* / Q000188:drug therapy; D000328:Adult; D019072:Antibiotic Prophylaxis; D000935:Antifungal Agents / Q000627:therapeutic use; D023241:Antiretroviral Therapy, Highly Active; D003453:Cryptococcosis / Q000175:diagnosis / Q000000981:diagnostic imaging* / Q000188:drug therapy; D003937:Diagnosis, Differential; D015725:Fluconazole / Q000627:therapeutic use; D006801:Humans; D017964:Itraconazole / Q000627:therapeutic use; D008172:Lung Diseases, Fungal / Q000000981:diagnostic imaging* / Q000188:drug therapy; D008297:Male; D014057:Tomography, X-Ray Computed; D015662:Trimethoprim, Sulfamethoxazole Drug Combination / Q000627:therapeutic use
chemical_list: D000935:Antifungal Agents; D017964:Itraconazole; D015662:Trimethoprim, Sulfamethoxazole Drug Combination; D015725:Fluconazole