title: [A case of hepatic cryptococcosis complicated by adult T-cell leukemia].
abstract: A woman in her 80s was admitted to our hospital on account of jaundice, abnormal liver function tests, and leukocytosis. She was diagnosed with adult T-cell leukemia on the basis of the presence of anti-human T-cell leukemia virus type I (HTLV-I) and the results of flow cytometric analysis of peripheral blood. She also showed lung consolidation and cavitation, and a sputum smear and culture revealed cryptococcal infection. Therefore, she was diagnosed with pulmonary cryptococcosis. However, the cause of the abnormal liver function tests and jaundice remained unclear, and the patient subsequently died. On autopsy, multiple granulomas were observed throughout the liver, consistent with cryptococcal bodies. Herein we report this rare case of hepatic cryptococcosis with predominant hepatobiliary complaints.
authors.affiliation: Department of Internal Medicine, Japan Community Health care Organization Kyushu Hospital.
authors.forename: Toshiyuki
authors.initials: T
authors.lastname: Suzuki
authors.forename: Yasunori
authors.initials: Y
authors.lastname: Ichiki
authors.forename: Takashi
authors.initials: T
authors.lastname: Kamihira
authors.forename: Mai
authors.initials: M
authors.lastname: Akamine
authors.forename: Masahiro
authors.initials: M
authors.lastname: Iida
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Ogawa
authors.forename: Kiyoshi
authors.initials: K
authors.lastname: Fujisawa
mesh_terms: D000369:Aged, 80 and over; D003453:Cryptococcosis / Q000150:complications*; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D015459:Leukemia-Lymphoma, Adult T-Cell / Q000150:complications*; D008107:Liver Diseases / Q000150:complications*