Cavitating pulmonary cryptococcosis developing in an HIV antibody patient despite prior treatment with fluconazole.
نویسندگان
چکیده
Disseminated cryptococcosis developed in an HIV antibody positive patient who was taking fluconazole for oral candidiasis. This case highlights the poor response to therapy that may be seen, and the severe pulmonary complications that may ensue. The use of fluconazole prior to the development of cryptococcosis did not confer protection.
منابع مشابه
Relapsed Pulmonary Cryptococcosis during Tumor Necrosis Factor α Inhibitor Treatment
A 35-year-old non-HIV patient developed pulmonary cryptococcosis after the initiation of infliximab. He recovered by fluconazole treatment and completed the therapy for a total of 6 months. However, he experienced a relapse 16 months later during retreatment with infliximab, revealing an interesting clinical course contradicting retreatment. This case also represents the first case of relapsed ...
متن کاملCryptococcal Meningitis and Pulmonary Cryptococcosis in a Non-hiv Infected Patient
Correspondence: Dr Amit Agrawal Associate Professor of Neurosurgery, Department of Neurosurgery, K.S. Hegde Medical Academy, Nityananda Nagar, Mangalore-575108, Karnataka,India. E-mail: [email protected] INTRODUCTION Cryptococcosis has dramatically increased in frequency as a result of the pandemic of human immunodeficiency virus (HIV) infection and an enlarging population of other immuno...
متن کاملPulmonary cryptococcosis in non-AIDS patients.
PURPOSE To clarify the clinical features and imaging characteristics of non-AIDS patients with pulmonary cryptococcosis. METHODS We retrospectively collected 15 HIV-negative patients with pathology-proved pulmonary cryptococcosis from Sep 1992 to Jan 2008. Their medical records and radiological data were reviewed and analyzed. RESULTS Only one patient was asymptomatic.Thirteen patients were...
متن کاملPulmonary Cryptococcosis in the Immunocompetent Patient—Many Questions, Some Answers
Background. There are no prospective data regarding the management of pulmonary cryptococcosis in the immunocompetent patient. Clinical guidelines recommend oral fluconazole for patients with mild to moderate symptoms and amphotericin B plus flucytosine followed by fluconazole for severe disease. It is unclear whether patients who have histological evidence of Cryptococcus neoformans but negat...
متن کاملRapid Fatal Outcome of Cryptococcal Meningoencephalitis in a Non-HIV Immunocompromised Patient with a Low Fluconazole Susceptibility Isolate: A Case Report from Madagascar
Cryptococcal meningoencephalitis is considered rare in HIV-negative individuals. In Madagascar, the epidemiology of cryptococcosis has not yet been well described, neither in immunocompetent nor in immunocompromised patients. We report here the first Malagasy detailed case of cryptococcal meningoencephalitis in a non-HIV immunocompromised adult patient carrying a low fluconazole susceptibility ...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Genitourinary medicine
دوره 68 1 شماره
صفحات -
تاریخ انتشار 1992