Resumen

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.

Palabras clave : C. laurentii; Immunocompromised host; Infection.

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