Miliary pulmonary cryptococcosis
A 32-year-old HIV positive male presents with fevers and a non-productive cough. Initial X-ray and subsequent computerised tomography of the chest shows a bilateral miliary pattern of pulmonary infiltration highly suggestive of disseminated tuberculosis. However subsequent results were consistent wi...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2014-10-01
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| Series: | Medical Mycology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2211753914000372 |
| _version_ | 1818137707549818880 |
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| author | Shane Kelly Deborah Marriott |
| author_facet | Shane Kelly Deborah Marriott |
| author_sort | Shane Kelly |
| collection | DOAJ |
| description | A 32-year-old HIV positive male presents with fevers and a non-productive cough. Initial X-ray and subsequent computerised tomography of the chest shows a bilateral miliary pattern of pulmonary infiltration highly suggestive of disseminated tuberculosis. However subsequent results were consistent with disseminated cryptococcosis, including pulmonary involvement, with cryptococcus identified on transbronchial tissue biopsy, and on blood and cerebrospinal fluid cultures.
Imaging features of pulmonary cryptococcosis are generally of well-defined pleural-based nodules and less commonly alveolar infiltrates, lymphadenopathy, pleural effusions or cavitating lesions. Miliary pulmonary infiltrates are an exceptionally rare presentation. |
| first_indexed | 2024-12-11T10:00:35Z |
| format | Article |
| id | doaj.art-64bb7092be994d0c969b5c783da52bc2 |
| institution | Directory Open Access Journal |
| issn | 2211-7539 |
| language | English |
| last_indexed | 2024-12-11T10:00:35Z |
| publishDate | 2014-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Medical Mycology Case Reports |
| spelling | doaj.art-64bb7092be994d0c969b5c783da52bc22022-12-22T01:12:08ZengElsevierMedical Mycology Case Reports2211-75392014-10-016C222410.1016/j.mmcr.2014.08.004Miliary pulmonary cryptococcosisShane Kelly0Deborah Marriott1Department of Immunology and Infectious Diseases, IBAC, St Vincent’s Hospital, Darlinghurst, Sydney 2010, AustraliaDepartment of Immunology and Infectious Diseases, IBAC, St Vincent’s Hospital, Darlinghurst, Sydney 2010, AustraliaA 32-year-old HIV positive male presents with fevers and a non-productive cough. Initial X-ray and subsequent computerised tomography of the chest shows a bilateral miliary pattern of pulmonary infiltration highly suggestive of disseminated tuberculosis. However subsequent results were consistent with disseminated cryptococcosis, including pulmonary involvement, with cryptococcus identified on transbronchial tissue biopsy, and on blood and cerebrospinal fluid cultures. Imaging features of pulmonary cryptococcosis are generally of well-defined pleural-based nodules and less commonly alveolar infiltrates, lymphadenopathy, pleural effusions or cavitating lesions. Miliary pulmonary infiltrates are an exceptionally rare presentation.http://www.sciencedirect.com/science/article/pii/S2211753914000372CryptococcusHIVAIDSMiliaryTuberculosisPulmonary |
| spellingShingle | Shane Kelly Deborah Marriott Miliary pulmonary cryptococcosis Medical Mycology Case Reports Cryptococcus HIV AIDS Miliary Tuberculosis Pulmonary |
| title | Miliary pulmonary cryptococcosis |
| title_full | Miliary pulmonary cryptococcosis |
| title_fullStr | Miliary pulmonary cryptococcosis |
| title_full_unstemmed | Miliary pulmonary cryptococcosis |
| title_short | Miliary pulmonary cryptococcosis |
| title_sort | miliary pulmonary cryptococcosis |
| topic | Cryptococcus HIV AIDS Miliary Tuberculosis Pulmonary |
| url | http://www.sciencedirect.com/science/article/pii/S2211753914000372 |
| work_keys_str_mv | AT shanekelly miliarypulmonarycryptococcosis AT deborahmarriott miliarypulmonarycryptococcosis |