title: [Primary pulmonary cryptococcosis with multiple infiltrative shadows complicated by obstructive sleep apnea syndrome].
abstract: In November 2007, a 30-year-old obese woman was admitted to our hospital with a complaint of persistent dry cough. Her chest-X-ray and computed tomography revealed multiple infiltrative shadows with air bronchograms in all lung fields. The bronchoalveolar lavage fluid revealed small bodies of Cryptococcus species. Cryptococcal serum antigen was also positive. To examine the cause of her snoring, polysomnography was done and revealed obstructive sleep apnea syndrome. The patient was given a diagnosis of primary pulmonary cryptococcosis with obstructive sleep apnea syndrome. After 12 months of treatment with fluconazole, the infiltrative shadows disappeared. Pulmonary cryptococcosis should be considered in the differential diagnosis of pulmonary multiple infiltrated shadows in patients without immunological abnormalities.
authors: Division of Respiratory Medicine, Matsue Red Cross Hospital.
authors: Hirokazu
authors: H
authors: Tokuyasu
authors: Tomoya
authors: T
authors: Harada
authors: Hirokazu
authors: H
authors: Touge
authors: Yuji
authors: Y
authors: Kawasaki
authors: Kazuo
authors: K
authors: Chin
authors: Noritaka
authors: N
authors: Isowa
authors: Eiji
authors: E
authors: Shimizu
mesh_terms: D000328:Adult; D003453:Cryptococcosis / Q000150:complications* / Q000000981:diagnostic imaging*; D005260:Female; D006801:Humans; D008172:Lung Diseases, Fungal / Q000150:complications* / Q000000981:diagnostic imaging*; D013902:Radiography, Thoracic; D020181:Sleep Apnea, Obstructive / Q000150:complications*