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Isolated cryptococcal thoracic empyema with osteomyelitis of the rib in an immunocompetent host
Wei-Chou Chang1, Ching Tzao, Hsian-He Hsu
1Department of Radiology, Tri-Service General Hospital, National Defense Medical Center, 325, Cheng-Kung Road, Sec. 2, Taipei 114, Taiwan, ROC.
Abstract:
Cryptococcal thoracic empyema is extremely rare and has been described almost always in immunocompromised patients with pulmonary or disseminated cryptococcosis. To our knowledge, isolated cryptococcal thoracic empyema with rib osteomyelitis has never been reported in an immunocompetent patient. We herein present such a case. Computed tomographic (CT) scan suggested the diagnosis of thoracic empyema in association with adjacent rib osteomyelitis, confirmed by postoperative histological examination. Surgical debridement followed by appropriate antifungal therapy achieved a complete eradication of the infection.
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