title: Intra-abdominal cryptococcosis by Cryptococcus gattii: case report and review.
abstract: Although abdominal cryptococcomas and visceral cryptococcal lymphadenitis as part of disseminated fungal infection have been reported mostly in HIV-infected patients, localized intra-abdominal involvement due to Cryptococcus gattii has not been previously described in non-HIV-infected patients. In general, a smaller proportion of cryptococcosis is caused by C. gattii. We report here on a type II diabetic HIV-negative patient who presented with a localized intra-abdominal cryptococcal mass due to C. gattii. In addition, we review the general aspects of intra-abdominal and gastrointestinal involvement by Cryptococcus neoformans in the literature and discuss the importance of identifying the C. neoformans varieties and C. gattii in routine laboratories.
authors.affiliation: Section of Infectious Diseases, Hospital de Clinicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Ramiro Barcelos 2350, Porto Alegre, RS, 90640-002, Brazil.
authors.forename: Bruno S
authors.initials: BS
authors.lastname: Araújo
authors.forename: Monica
authors.initials: M
authors.lastname: Bay
authors.forename: Roberta
authors.initials: R
authors.lastname: Reichert
authors.forename: Luciano Z
authors.initials: LZ
authors.lastname: Goldani
mesh_terms: D001706:Biopsy; D003453:Cryptococcosis / Q000175:diagnosis* / Q000382:microbiology / Q000473:pathology*; D056285:Cryptococcus gattii / Q000302:isolation & purification*; D003455:Cryptococcus neoformans / Q000302:isolation & purification; D048909:Diabetes Complications; D003924:Diabetes Mellitus, Type 2 / Q000150:complications; D006651:Histocytochemistry; D006801:Humans; D059413:Intraabdominal Infections / Q000175:diagnosis* / Q000382:microbiology / Q000473:pathology*; D008297:Male; D008853:Microscopy; D008875:Middle Aged; D011860:Radiography, Abdominal; D014057:Tomography, X-Ray Computed