Cryptococcosis as a cause of organizing pneumonia

In cases showing organizing pneumonia (OP) with radiologic findings and pathological images, it is necessary to differentiate between idiopathic and secondary diseases as the cause of OP. Cryptococcus infection as a cause of OP is not well known. We herein report two cases of secondary pulmonary cry...

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Main Authors: Ayumi Chikumoto, Keiji Oishi, Kazuki Hamada, Kazuki Matsuda, Sho Uehara, Ryo Suetake, Yoshikazu Yamaji, Maki Asami-Noyama, Nobutaka Edakuni, Tsunahiko Hirano, Tomoyuki Murakami, Kazuto Matsunaga
Format: Article
Language:English
Published: Elsevier 2019-01-01
Series:Respiratory Medicine Case Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S2213007119301029
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author Ayumi Chikumoto
Keiji Oishi
Kazuki Hamada
Kazuki Matsuda
Sho Uehara
Ryo Suetake
Yoshikazu Yamaji
Maki Asami-Noyama
Nobutaka Edakuni
Tsunahiko Hirano
Tomoyuki Murakami
Kazuto Matsunaga
author_facet Ayumi Chikumoto
Keiji Oishi
Kazuki Hamada
Kazuki Matsuda
Sho Uehara
Ryo Suetake
Yoshikazu Yamaji
Maki Asami-Noyama
Nobutaka Edakuni
Tsunahiko Hirano
Tomoyuki Murakami
Kazuto Matsunaga
author_sort Ayumi Chikumoto
collection DOAJ
description In cases showing organizing pneumonia (OP) with radiologic findings and pathological images, it is necessary to differentiate between idiopathic and secondary diseases as the cause of OP. Cryptococcus infection as a cause of OP is not well known. We herein report two cases of secondary pulmonary cryptococcosis in immunocompromised patients who showed OP, and the usefulness of bronchoscopy and serum cryptococcal antigen test for an early diagnosis. Common to both cases was that antibiotic therapy and corticosteroid therapy were ineffective, while antifungal agents were effective. In cases of immunocompromised patients who present OP with radiologic findings or pathological images, prompt administration of antifungal treatment at an early stage is important when pulmonary cryptococcosis is identified by bronchoscopy and serum cryptococcal antigen test. Keywords: Cryptococcosis, Organizing pneumonia, Immunocompromised host, Bronchoscopy, Serum cryptococcal antigen test
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spelling doaj.art-232af39f8a8e4fc3ad871d2e759330e72022-12-21T19:27:46ZengElsevierRespiratory Medicine Case Reports2213-00712019-01-0127Cryptococcosis as a cause of organizing pneumoniaAyumi Chikumoto0Keiji Oishi1Kazuki Hamada2Kazuki Matsuda3Sho Uehara4Ryo Suetake5Yoshikazu Yamaji6Maki Asami-Noyama7Nobutaka Edakuni8Tsunahiko Hirano9Tomoyuki Murakami10Kazuto Matsunaga11Department of Respiratory Medicine and Infectious Disease, Graduate School of Medicine, Yamaguchi University, 1-1-1 Minami-Kogushi, Ube, Yamaguchi, 755-8505, JapanDepartment of Medicine and Clinical Science, Graduate School of Medicine, Yamaguchi University, 1-1-1 Minami-Kogushi, Ube, Yamaguchi, 755-8505, Japan; Corresponding author. Tel.: +81 836 22 2248; fax: +81 836 22 2246.Department of Respiratory Medicine and Infectious Disease, Graduate School of Medicine, Yamaguchi University, 1-1-1 Minami-Kogushi, Ube, Yamaguchi, 755-8505, JapanDepartment of Respiratory Medicine and Infectious Disease, Graduate School of Medicine, Yamaguchi University, 1-1-1 Minami-Kogushi, Ube, Yamaguchi, 755-8505, JapanDepartment of Respiratory Medicine and Infectious Disease, Graduate School of Medicine, Yamaguchi University, 1-1-1 Minami-Kogushi, Ube, Yamaguchi, 755-8505, JapanDepartment of Respiratory Medicine and Infectious Disease, Graduate School of Medicine, Yamaguchi University, 1-1-1 Minami-Kogushi, Ube, Yamaguchi, 755-8505, JapanDepartment of Respiratory Medicine and Infectious Disease, Graduate School of Medicine, Yamaguchi University, 1-1-1 Minami-Kogushi, Ube, Yamaguchi, 755-8505, JapanDepartment of Respiratory Medicine and Infectious Disease, Graduate School of Medicine, Yamaguchi University, 1-1-1 Minami-Kogushi, Ube, Yamaguchi, 755-8505, JapanDepartment of Respiratory Medicine and Infectious Disease, Graduate School of Medicine, Yamaguchi University, 1-1-1 Minami-Kogushi, Ube, Yamaguchi, 755-8505, JapanDepartment of Respiratory Medicine and Infectious Disease, Graduate School of Medicine, Yamaguchi University, 1-1-1 Minami-Kogushi, Ube, Yamaguchi, 755-8505, JapanDepartment of Pathology, National Hospital Organization Kanmon Medical Center, 1-1 Chofusotouracho, Shimonoseki, Yamaguchi 752-8510, JapanDepartment of Respiratory Medicine and Infectious Disease, Graduate School of Medicine, Yamaguchi University, 1-1-1 Minami-Kogushi, Ube, Yamaguchi, 755-8505, JapanIn cases showing organizing pneumonia (OP) with radiologic findings and pathological images, it is necessary to differentiate between idiopathic and secondary diseases as the cause of OP. Cryptococcus infection as a cause of OP is not well known. We herein report two cases of secondary pulmonary cryptococcosis in immunocompromised patients who showed OP, and the usefulness of bronchoscopy and serum cryptococcal antigen test for an early diagnosis. Common to both cases was that antibiotic therapy and corticosteroid therapy were ineffective, while antifungal agents were effective. In cases of immunocompromised patients who present OP with radiologic findings or pathological images, prompt administration of antifungal treatment at an early stage is important when pulmonary cryptococcosis is identified by bronchoscopy and serum cryptococcal antigen test. Keywords: Cryptococcosis, Organizing pneumonia, Immunocompromised host, Bronchoscopy, Serum cryptococcal antigen testhttp://www.sciencedirect.com/science/article/pii/S2213007119301029
spellingShingle Ayumi Chikumoto
Keiji Oishi
Kazuki Hamada
Kazuki Matsuda
Sho Uehara
Ryo Suetake
Yoshikazu Yamaji
Maki Asami-Noyama
Nobutaka Edakuni
Tsunahiko Hirano
Tomoyuki Murakami
Kazuto Matsunaga
Cryptococcosis as a cause of organizing pneumonia
Respiratory Medicine Case Reports
title Cryptococcosis as a cause of organizing pneumonia
title_full Cryptococcosis as a cause of organizing pneumonia
title_fullStr Cryptococcosis as a cause of organizing pneumonia
title_full_unstemmed Cryptococcosis as a cause of organizing pneumonia
title_short Cryptococcosis as a cause of organizing pneumonia
title_sort cryptococcosis as a cause of organizing pneumonia
url http://www.sciencedirect.com/science/article/pii/S2213007119301029
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