title: Disseminated cryptococcosis presenting as mediastinal and hilar lymphadenopathy in an immunocompetent patient.
abstract: We herein report a rare case of disseminated cryptococcosis presenting as mediastinal and hilar lymphadenopathy in a young immunocompetent man. A previously healthy 26-year-old man presented with persistent headache and nonproductive cough. Chest computed tomography indicated mediastinal and hilar lymphadenopathy. Cryptococcal lymphadenitis and meningitis was confirmed by endobronchial ultrasound-guided transbronchial needle aspiration and central spinal fluid examination, respectively. He received liposomal amphotericin B and flucytosine followed by fluconazole and finally improved.
authors: Department of Respiratory Medicine Nagoya Medical Center Nagoya Japan.
authors: Yasushi
authors: Y
authors: Murakami
authors: Department of Respiratory Medicine Nagoya Medical Center Nagoya Japan.
authors: Masahide
authors: M
authors: Oki
authors: Department of Respiratory Medicine Nagoya Medical Center Nagoya Japan.
authors: Hideo
authors: H
authors: Saka
authors: Department of Neurology Nagoya Medical Center Nagoya Japan.
authors: Shigehisa
authors: S
authors: Kajikawa
authors: Department of Respiratory Medicine Tokoname Municipal Hospital Tokoname Japan.
authors: Ayuka
authors: A
authors: Murakami
authors: Department of Respiratory Medicine Nagoya Medical Center Nagoya Japan.
authors: Akane
authors: A
authors: Ishida
keywords: Disseminated cryptococcosis; EBUS‐TBNA; immunocompetent patient; mediastinal lymphadenopathy; meningitis