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KMID : 0352419940130030328
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Keimyung Medical Journal
1994 Volume.13 No. 3 p.328 ~ p.334
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A Case of Cryptococcosis presenting as Cervical and Mediastinal Lymphadenopathy, and showing Good Response after Treatment with Fluconazole
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정강호
도영록/이춘식/허정숙/정화영/송홍석
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Abstract
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Cryptococcosis is subacute or chronic mycotic infection caused by Cryptococcus neoformans. Authors experienced a case of cryptococcosis, resembling malignant lymphoma that restricted in cervical and mediastinal lymph node. A 44-year-old female
patient
was admitted with complaints of weight loss, fever, chill and palpable multiple neck mass. Chest PA and CT scan showed multiple discrete nodular masses in both cervical, hilar, supraclavicular and mediastinum. In section of cervical and
mediastinal
lymph node biopsy, Fontana-Masson and mucicarmine positive -cryptococcus was found. And there was no evidence of malignant lymphoma. The patient was treated with oral fluconazole 400mg/day for 3 months and showed good response.
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KEYWORD
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