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KMID : 0374919960170040548
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Inje Medical Journal
1996 Volume.17 No. 4 p.548 ~ p.0
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A Case of Pulmonary Cryptococcosis Mimicking Lung Cancer
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Tae Chan Erme
M.D./Myung Sik Kim/M.D./Byung Oh jeound/M.D./Eui Tae Jung/M.D. and Soo Jeon Choi/M.D.
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Abstract
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Crytococcosis is a fungal disease caused by crytococcus neoformans, which is a ubiquitous fungus and easily recoved from pigeon droppings. But pulmonary crytococcosis in immunologically competent host is a rare disease. So we report a case of pulmonary cryptococcosis which is mimicking lung cancer and arisen without extrapulmonary involvement. A 39-year-old previously healthy man presented with dry cough for 1 month and the chest X-ray showed 4×4cm sized single mass in the right lower lobe. Crytococcal granuloma was seen in the specimens obtained by fluoroscopy-guided percutaneous needle biopsy. He had neither underlying disease nor being treated with immunosuppressant agents. There was no evidence of extrapulmonary involvement such as
meningitis. Clinical improvement and radiologic resolution were noted after 3 months of therapy with itroconazole(Sporanox).
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KEYWORD
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