title: [Post-renal transplant pulmonary cryptococcosis, which was difficult to differentiate from a pulmonary tumor].
abstract: A 61-year-old man, with a history of renal transplant for immunoglobulin A (IgA) nephropathy and surgery for advanced gastric carcinoma, was noted to have a nodular shadow of 1.3 cm in diameter in the left lung( S8) based on chest computed tomography( CT), and was suspected to have primary pulmonary carcinoma or a metastatic pulmonary tumor, for which surgical resection was performed. A rapid pathological diagnosis of inflammatory granuloma was made, and the patient was finally diagnosed as having pulmonary cryptococcosis based on the histopathology, and received fluconazole postoperatively. Patients with organ transplant history showing a nodular shadow in the lung should undergo a careful workup in consideration of both malignant tumor and infection.
authors.affiliation: Department of Thoracic Surgery, Ehime Prefectural Central Hospital, Matsuyama, Japan.
authors.forename: Daisuke
authors.initials: D
authors.lastname: Taniguchi
authors.forename: Takahiro
authors.initials: T
authors.lastname: Sawada
authors.forename: Chusei
authors.initials: C
authors.lastname: Ryu
authors.forename: Takeshi
authors.initials: T
authors.lastname: Nagayasu
mesh_terms: D003453:Cryptococcosis / Q000175:diagnosis*; D003937:Diagnosis, Differential; D006801:Humans; D016030:Kidney Transplantation; D008172:Lung Diseases, Fungal / Q000175:diagnosis*; D008175:Lung Neoplasms / Q000175:diagnosis*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis