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A case of lung mass: a common association between uncommon diseases
Vishal Gupta1, Niteen D Karnik1, Dhiraj Agrawal1
1Department of Medicine, Seth G. S. Medical College & KEM Hospital, Thane, Maharashtra, India.
Abstract:
A young man presented with a history of cough, chest pain and streaky haemoptysis with low-grade fever. Further evaluation revealed a mass in the left hemithorax, which was biopsied to reveal cryptococcoma. The patient was HIV negative. Flow cytometry lymphocyte subset analysis showed reduced CD4+ T lymphocytes. Absolute CD4+ lymphocyte count was only 230 (normal range 530-1300). The patient was started on injectable amphotericin B, which was given for 1 month, and he was discharged on oral fluconazole.
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