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Pulmonary cryptococcosis: An unusual presentation.

Anand K Babu¹, Ram Gopalakrishnan, L Sundararajan

¹DNB Trainee in Respiratory Medicine, Apollo Hospitals, Chennai, Tamil Nadu, India.

Lung India : Official Organ of Indian Chest Society

|December 17, 2013

Summary

Symptomatic pulmonary cryptococcosis presenting as an endobronchial mass is rare in immunocompetent individuals. This case highlights successful treatment of a young patient with an endobronchial cryptococcal mass using antifungal therapy.

Keywords:

Cryptococcosis endobronchial mass pulmonary cryptococcosis

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Area of Science:

Pulmonology
Infectious Diseases
Mycology

Background:

Pulmonary cryptococcosis is typically asymptomatic in immunocompetent hosts.
Symptomatic presentation as an endobronchial mass is uncommon.

Purpose of the Study:

To report a rare case of symptomatic pulmonary cryptococcosis presenting as an endobronchial mass in an immunocompetent host.
To review the clinical features, diagnosis, and treatment of pulmonary cryptococcosis.

Main Methods:

Case report of a young immunocompetent male with left lung collapse and consolidation.
Diagnosis confirmed via computed tomography (CT) scan and bronchial biopsy.
Treatment with parenteral antifungal therapy.

Main Results:

A polypoid lesion was identified in the left main bronchus.
The patient responded well to antifungal treatment.
Review of literature on pulmonary cryptococcosis.

Conclusions:

Symptomatic pulmonary cryptococcosis can manifest as an endobronchial mass even in immunocompetent individuals.
Prompt diagnosis and antifungal treatment are crucial for favorable outcomes.
This case underscores the importance of considering fungal infections in the differential diagnosis of endobronchial lesions.