Abstract

BURBANO PEREZ, Sonia et al. Pulmonary Involvement with Cryptococcus Laurentii in an Immunocompromised Patient. Rev. am. med. respir. [online]. 2020, vol.20, n.2, pp.185-188. ISSN 1852-236X.

Cryptococcosis mostly affects patients with cell-mediated immunity involvement. We present the case of a male patient, 45 years old, with history of HIV and Hodgkin’s lymphoma, who was admitted to the hospital due to persistent fever without neutropenia. The PET-TC (Positron Emission Tomography - Computed Tomography) showed hypermetabolic pulmonary and lymph node images. We suspected disease relapse and/or the presence of an infectious process. We performed a BAL (Bronchoalveolar Lavage) and Cryptococcus laurentii was isolated in culture. The patient received treatment with amphotericin B and fluconazole, with negative control cultures. The CT control was repeated without pulmonary infiltrates and persistence of adenopathies. The patient received treatment with ESHAP and evolved with good response.

Keywords : C. laurentii; Immunocompromised host; Infection.

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