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Published on: March 1, 2024
Intra-cavitary pulmonary cryptococcoma in poorly controlled diabetes mellitus
Najibu Kalyango1, Richard Kwizera2, Joseph B Baluku3
1Department of Medicine, College of Health Sciences, Makerere University, Kampala, P.o.Box, 7072, Uganda.
Abstract:
A 59-year-old HIV-negative Ugandan man presented with a long-standing history of respiratory symptoms and was found to have an intra-cavitary pulmonary cryptococoma by chest imaging and sputum culture. The serum cryptococcal antigen was negative. The sputum Xpert® MTB RIF Ultra assay was negative. He was previously treated for cavitary pulmonary tuberculosis. The patient had poorly controlled diabetes (HbA1c, 9.3%). The patient was successfully treated with oral fluconazole.
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