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Pulmonary cryptococcosis in immunocompetent patient: a case report
1Department of Pulmonary and Critical Care Medicine, The First Affiliated Hospital of Xi'an Medical University Xi'an 710077, Shaanxi, PR China.
Insights
Pulmonary cryptococcosis (PC) is usually opportunistic but can affect healthy individuals. This case highlights PC diagnosis and successful fluconazole treatment in an immunocompetent patient with persistent respiratory symptoms.
Area of Science:
- Pulmonology
- Infectious Diseases
- Mycology
Background:
- Pulmonary cryptococcosis (PC) is an opportunistic infection, typically affecting immunocompromised individuals.
- Cryptococcus species are fungi that can cause severe lung infections.
Observation:
- A previously healthy, immunocompetent patient presented with persistent, irritating cough and shortness of breath.
- Initial antibiotic treatments were ineffective, suggesting a non-bacterial cause.
Findings:
- Percutaneous transcutaneous biopsy confirmed pulmonary cryptococcosis (PC).
- Intravenous fluconazole treatment for two weeks resulted in a complete recovery.
Implications:
- This case expands the understanding of PC presentation in immunocompetent hosts.
- Highlights the importance of considering fungal infections in unexplained respiratory conditions.
- Demonstrates the efficacy of fluconazole in treating PC, even in immunocompetent patients.
Abstract:
Pulmonary cryptococcosis (PC) is an opportunistic and conditional disease. It commonly occurs in immunocompromised patients. We presented a case of PC in an immunocompetent patient. This patient had the complaints of irritating cough and shortness of breath. A variety of antibiotic treatment was ineffective. The patient eventually received percutaneous transcutaneous biopsy and PC was diagnosed. Patient was treated by intravenous fluconazole for two weeks. The patient's follow-up was performed by Pulmonary Department, and we learned that the patient was well.
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