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[Primary pulmonary cryptococcosis with endobronchial lesion].
Nihon Kokyuki Gakkai Zasshi. 2000 Apr; 38(4):302-6.NK

Abstract

A 19-year old man was admitted to our hospital with fever and productive cough. Chest X-ray films revealed multiple nodular shadows accompanied by a fusing tendency in the right middle field. A diagnosis of bacterial pneumonia was indicated, and the patient was treated with antibiotics. However, because this failed to resolve the nodular shadows, bronchofibroscopy was performed. Examination with a fiberoptic bronchoscope revealed an elevated lesion in the truncus intermedius. Histopathologic examination of a specimen obtained by transbronchial biopsy revealed cryptococcal organisms with the infiltration of monocytes. These findings yielded a diagnosis of pulmonary cryptococcosis with endobronchial lesion. After 6 months of treatment with fluconazole, the multiple nodular shadows disappeared. Comparison of bronchoscopic findings before and after fluconazole treatment clearly demonstrated the efficacy of the therapy.

Authors+Show Affiliations

Second Department of Internal Medicine, Oita Medical University, Japan.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

jpn

PubMed ID

10879035

Citation

Mito, K, et al. "[Primary Pulmonary Cryptococcosis With Endobronchial Lesion]." Nihon Kokyuki Gakkai Zasshi = the Journal of the Japanese Respiratory Society, vol. 38, no. 4, 2000, pp. 302-6.
Mito K, Kawano H, Yamakami Y, et al. [Primary pulmonary cryptococcosis with endobronchial lesion]. Nihon Kokyuki Gakkai Zasshi. 2000;38(4):302-6.
Mito, K., Kawano, H., Yamakami, Y., Arita, K., Uenishi, Y., Nagaoka, H., Nagai, H., & Nasu, M. (2000). [Primary pulmonary cryptococcosis with endobronchial lesion]. Nihon Kokyuki Gakkai Zasshi = the Journal of the Japanese Respiratory Society, 38(4), 302-6.
Mito K, et al. [Primary Pulmonary Cryptococcosis With Endobronchial Lesion]. Nihon Kokyuki Gakkai Zasshi. 2000;38(4):302-6. PubMed PMID: 10879035.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Primary pulmonary cryptococcosis with endobronchial lesion]. AU - Mito,K, AU - Kawano,H, AU - Yamakami,Y, AU - Arita,K, AU - Uenishi,Y, AU - Nagaoka,H, AU - Nagai,H, AU - Nasu,M, PY - 2000/7/6/pubmed PY - 2000/8/12/medline PY - 2000/7/6/entrez SP - 302 EP - 6 JF - Nihon Kokyuki Gakkai zasshi = the journal of the Japanese Respiratory Society JO - Nihon Kokyuki Gakkai Zasshi VL - 38 IS - 4 N2 - A 19-year old man was admitted to our hospital with fever and productive cough. Chest X-ray films revealed multiple nodular shadows accompanied by a fusing tendency in the right middle field. A diagnosis of bacterial pneumonia was indicated, and the patient was treated with antibiotics. However, because this failed to resolve the nodular shadows, bronchofibroscopy was performed. Examination with a fiberoptic bronchoscope revealed an elevated lesion in the truncus intermedius. Histopathologic examination of a specimen obtained by transbronchial biopsy revealed cryptococcal organisms with the infiltration of monocytes. These findings yielded a diagnosis of pulmonary cryptococcosis with endobronchial lesion. After 6 months of treatment with fluconazole, the multiple nodular shadows disappeared. Comparison of bronchoscopic findings before and after fluconazole treatment clearly demonstrated the efficacy of the therapy. SN - 1343-3490 UR - https://www.unboundmedicine.com/medline/citation/10879035/[Primary_pulmonary_cryptococcosis_with_endobronchial_lesion]_ DB - PRIME DP - Unbound Medicine ER -