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Cryptococcosis: an unusual cause of endobronchial obstruction
P Mahida1, R Morar, A Goolam Mahomed
1Dept of Medicine, Hillbrow Hospital, Johannesburg, South Africa.
Abstract:
We report the case of a 43 year old male patient, with normal immune function, who presented with right middle and lower lobe collapse. At bronchoscopy, a white lobulated lesion was seen, completely obstructing the origin of bronchus intermedius. Bronchial washings and biopsy of the lesion demonstrated cryptococcal organisms. The patient responded clinically and radiologically to amphotericin B and flucytosine; however, repeat bronchoscopy revealed only partial resolution of the endobronchial lesion.
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