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KMID : 0377220120370040266
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Medical Journal of Chosun Univercity
2012 Volume.37 No. 4 p.266 ~ p.268
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A Case of Disseminated Cryptococcosis in a Patient with Liver Cirrhosis
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Kim Hyung-Ho
Lee Jun
Yun Na-Ra
Kim Dong-Hyun
Jang Hoi-Soo
Kim Man-Woo
Park Chan-Guk
Kim Young-Dae
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Abstract
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We report on a case of fatal disseminated cryptococcosis in a 62-year-old female with alcoholic liver cirrhosis who presented with generalized weakness, slowed speech, and inappropriate behavior. She was diagnosed with cryptococcemia, cryptococcal meningitis, and peritonitis on day 6 of admission. Despite adequate treatment, the patient developed multisystem organ failure and eventually expired. In cases where cryptococcal infections are not treated with anti fungal agents within 48 hours, the prognosis is bleak and the mortality rate is extremely high. Therefore, rapid diagnosis and administration of antiflingal agents is essential for successful treatment.
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KEYWORD
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Cryptococcus neoformans, Liver cirrhosis
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