[Cavitary pneumonia in an AIDS patient with cryptococcosis].
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.
Corti
Marcelo
M
División de VIH/SIDA and Cátedra de Enfermedades Infecciosas (UBA), Hospital de Enfermedades Infecciosas F. J. Muñiz, Buenos Aires, Argentina. marcelocorti@fibertel.com.ar
Trione
Norberto
N
Semorile
Karin
K
Palmieri
Omar
O
Negroni
Ricardo
R
Arechavala
Alicia
A
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
D000935:Antifungal Agents; D017964:Itraconazole; D015662:Trimethoprim, Sulfamethoxazole Drug Combination; D015725:Fluconazole