title: A Case of Pulmonary Cryptococcosis in an Immunocompetent Male Patient Diagnosed by a Percutaneous Supraclavicular Lymph Node Biopsy.
abstract: Cryptococcal pneumonia usually occurs in immunocompromised patients with malignancy, acquired immune deficiency syndrome, organ transplantations, immunosuppressive chemotherapies, catheter insertion, or dialysis. It can be diagnosed by gaining tissues in lung parenchyma or detecting antigen in blood or bronchoalveolar lavage fluid. Here we report an immunocompetent 32-year-old male patient with diabetes mellitus diagnosed with cryptococcal pneumonia after a ultrasound-guided percutaneous supraclavicular lymph node core needle biopsy. We treated him with fluconazole at 400 mg/day for 9 months according to the guideline. This is the first case that cryptococcal pneumonia was diagnosed from a percutaneous lymph node biopsy in South Korea.
authors.affiliation: Department of Internal Medicine, Bundang Jesaeng General Hospital, Seongnam, Korea.
authors.forename: Ji Hee
authors.initials: JH
authors.lastname: Sung
authors.affiliation: Department of Internal Medicine, Bundang Jesaeng General Hospital, Seongnam, Korea.
authors.forename: Do Hoon
authors.initials: DH
authors.lastname: Kim
authors.affiliation: Department of Internal Medicine, Bundang Jesaeng General Hospital, Seongnam, Korea.
authors.forename: Mi-Jung
authors.initials: MJ
authors.lastname: Oh
authors.affiliation: Department of Internal Medicine, Bundang Jesaeng General Hospital, Seongnam, Korea.
authors.forename: Kyoung Ju
authors.initials: KJ
authors.lastname: Lee
authors.affiliation: Department of Radiology, Bundang Jesaeng General Hospital, Seongnam, Korea.
authors.forename: Young A
authors.initials: YA
authors.lastname: Bae
authors.affiliation: Department of Pathology, Bundang Jesaeng General Hospital, Seongnam, Korea.
authors.forename: Kye Won
authors.initials: KW
authors.lastname: Kwon
authors.affiliation: Department of Internal Medicine, Bundang Jesaeng General Hospital, Seongnam, Korea.
authors.forename: Seung Min
authors.initials: SM
authors.lastname: Lee
authors.affiliation: Department of Internal Medicine, Bundang Jesaeng General Hospital, Seongnam, Korea.
authors.forename: Ho Joon
authors.initials: HJ
authors.lastname: Kang
authors.affiliation: Department of Internal Medicine, Bundang Jesaeng General Hospital, Seongnam, Korea.
authors.forename: Jinyoung
authors.initials: J
authors.lastname: Choi
keywords: Biopsy, Fine-Needle; Cryptococcosis; Lymph Nodes; Pneumonia