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Recurrent pulmonary cryptococcosis during chronic HBV infection: A case report
Huan Liu1, Shu Shen, Qiuhui Wang
1Department of Respiratory, Shenyang Tenth People's Hospital, Shenyang Chest Hospital, Shenyang, China.
Rationale:
Pulmonary cryptococcosis is one of the important opportunistic infections and has a wide range of symptoms depending on the underlying conditions. Here, we reported a case living with chronic hepatitis B virus infection who had a recurrent pulmonary cryptococcosis.
Patient Concerns:
A 51-year-old male patient was admitted to our center because of cough, fatigue, and shortness of breath for 2 weeks.
Diagnosis:
Pulmonary infection was suggested by chest computed tomography. Most lab examinations for infection were negative and only cryptococcal antigen testing was positive. Therefore, a clinical diagnosis of pulmonary cryptococcosis was made.
Interventions:
Fluconazole (200 mg/day) and bicyclol (50 mg/day) was given orally.
Outcomes:
During the follow-up of 3 and 6 months, his conditions improved, and he recovered fully. Moreover, cryptococcal antigen level was 12.57 ng/mL. During the 2-year follow-up, no recurrence occurred.
Lessons:
This case highlights the importance of the awareness of opportunistic infections during chronic hepatitis B virus infection, especially the potential of recurrence.
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