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Cryptococcosis presenting as anterior neck swelling in an immunocompetent man: a case report
1Department of Pathology, Subharti Medical College, Meerut, Uttar Pradesh, India. poonamelhence@sify.com
Background:
Cryptococcosis is caused by the encapsulated opportunistic yeast Cryptococcus neoformans. An immunocompromised host is more susceptible to the survival and dissemination of this yeast, which can occur to almost all organs of the body, especially the central nervous system, lungs, bone marrow, gastrointestinal tract, retina, and reticuloendothelial system. However, there are few reports of Cryptococcus causing infections ir immunocompetent hosts.
Case:
A 70-year-old immunocompe tent man presented with swelling in the anterior neck region, which was diagnosed as cryptococcosis by fine needle aspiration cytology.
Conclusion:
Fine needle aspiration cytology plays a rapid, useful and important role in the diagnosis of cryptococcosis infection, especially in clinically unsuspected cases, and helps in timely therapeutic intervention.
Insights
Cryptococcosis, a fungal infection, can affect anyone, even those with strong immune systems. Fine needle aspiration cytology is a quick diagnostic tool for cryptococcosis, enabling prompt treatment.
Area of Science:
- Medical Mycology
- Infectious Diseases
- Diagnostic Cytopathology
Background:
- Cryptococcosis is an opportunistic infection caused by the yeast Cryptococcus neoformans.
- Immunocompromised individuals are highly susceptible to disseminated cryptococcosis, affecting multiple organs.
- Infections in immunocompetent hosts are rare but documented.
Observation:
- A 70-year-old immunocompetent male presented with an anterior neck swelling.
- Fine needle aspiration cytology (FNAC) was performed for diagnosis.
Findings:
- FNAC rapidly diagnosed the neck swelling as cryptococcosis.
- This highlights the utility of FNAC in unexpected cases.
Implications:
- Fine needle aspiration cytology is a valuable, rapid diagnostic method for cryptococcosis.
- Early diagnosis facilitates timely therapeutic intervention.
- This case underscores cryptococcosis as a potential diagnosis in immunocompetent individuals presenting with localized swelling.
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