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 Case Reports |
| A Case of Primary Pulmonary Cryptococcosis Misdiagnosed as Lung Cancer |
| Kyung Sik Ko1), Min Soo Han1), Hee Doo Kyung2), Joo Chul Park2), Ik Yang3), Dong Wook Sung3), Ju Hie Lee4), Hwan Jo Suh1) |
| Department of Internal Medicine1), Thoracic and Cardiovascular Surgery2), Radiology3), and Anatomical Pathology4), College of Medicine, Seoul, Korea |
Vol.25 Num.3 (p259~264)
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Cryptococcosis is a systemic mycosis, which has been increasingly recognized as a opportunistic fungal infection since the onset of acquired immunodeficiency syndrome (AIDS) epidemic in the early 1980's. The pattern of pulmonary cryptococcosis is highly variable.
The case we reported here was a 72 year-old Korean male who had a history of pulmonary tuberculosis. On routine chest X-ray, patient had a mass on the right lower lobe. The chest CT revealed that heterogenous low density mass with distal pneumonia and probably right hilar lymphadenopathy. We suspected that this case was a lung cancer.
Operation was done and microscopic examination showed numerous granulomatous lesions. We found several intracytoplasmic organisms in this section.
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