Significant pulmonary disease burden in treatment resistant disseminated cryptococcal infection: A case report

Cryptococcus neoformans causes severe disseminated infection in immunocompromised individuals. We report a case of an immunocompetent adult male who presented with treatment-resistant central nervous system manifestations and significant pulmonary disease burden. Hematology and lumbar puncture were...

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Bibliographic Details
Main Authors: Viswanathan Shanthakumar, Shanthi, Tai, Mei Ling Sharon, Rais Sanusi, Abdul, Sivalingam, Sivakumar, Zakai, Saad Bader
Format: Article
Published: Springer Verlag 2017
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Online Access:http://eprints.um.edu.my/22842/
https://doi.org/10.1007/s12055-017-0545-7
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Institution: Universiti Malaya
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Summary:Cryptococcus neoformans causes severe disseminated infection in immunocompromised individuals. We report a case of an immunocompetent adult male who presented with treatment-resistant central nervous system manifestations and significant pulmonary disease burden. Hematology and lumbar puncture were positive, aided by computerized tomography-guided histological confirmation. Despite medical therapy, there was inadequate resolution, and surgical resection was performed. On follow-up, investigations showed complete resolution, and the patient has remained disease-free at 5 years. This highlights the importance of looking for other sites in resistant cryptococcal meningitis and the value of cardiothoracic intervention for slowly resolving pulmonary cryptococcomas.