Pulmonary and bilateral retinochoroidal cryptococcosis.

Cryptococcal infection of the lung and meninges is being diagnosed with increasing frequency. The lung is usually the primary site of infection, and the patient may present with cough associated with scanty sputum and infrequent haemoptysis, or the lesion may be detected as an asymptomatic abnormality on chest x-ray. Cryptococcus neoformans is the commonest cause of mycotic meningitis, the patient presenting most commonly with headache, mental changes, and visual disturbances. Eye involvement is relatively uncommon. Chapman-Smith' found 14 reported cases and added one of his own. We report an additional case of bilateral intraocular cryptococcosis. The infection started with right lung involvement and blood stream dissemination.