title: Pulmonary cryptococcosis mimicking primary lung cancer with multiple lung metastases.
abstract: Cryptococcosis is an invasive fungal infection, which is more common in immunocompromised patients. However, pulmonary cryptococcosis can occur in immunocompetent patients and should be considered on a differential diagnosis for nodular or mass-like lesions in chest radiograph. Recently, we experienced a patient with pulmonary cryptococcosis, successfully treated with oral fluconazole therapy. A 74-year-old female patient was referred for an evaluation of abnormal images, a large consolidative mass with multiple nodular consolidations and small nodules that mimics primary lung cancer with multiple lung to lung metastases. Computed tomography-guided lung biopsy confirmed the diagnosis of pulmonary cryptococcosis. The follow-up image taken after 4 months with oral fluconazole treatment showed marked improvement.
authors.affiliation: Department of Internal Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea.
authors.forename: Yu Seung
authors.initials: YS
authors.lastname: Kim
authors.forename: In Hee
authors.initials: IH
authors.lastname: Lee
authors.forename: Hyun Seon
authors.initials: HS
authors.lastname: Kim
authors.forename: Su Sin
authors.initials: SS
authors.lastname: Jin
authors.forename: Jong Hwan
authors.initials: JH
authors.lastname: Lee
authors.forename: Sung-Kyoung
authors.initials: SK
authors.lastname: Kim
authors.forename: So Hyang
authors.initials: SH
authors.lastname: Song
authors.forename: Jinyoung
authors.initials: J
authors.lastname: Yoo
authors.forename: Chi Hong
authors.initials: CH
authors.lastname: Kim
authors.forename: Soon Seog
authors.initials: SS
authors.lastname: Kwon