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KMID : 0383820120730030182
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Tuberculosis and Respiratory Diseases
2012 Volume.73 No. 3 p.182 ~ p.186
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Pulmonary Cryptococcosis Mimicking Primary Lung Cancer with Multiple Lung Metastases
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Kim Yu-seung
Lee In-Hee
Kim Hyun-Seon
Jin Su-Sin
Lee Jong-Hwan
Kim Sung-Kyoung
Song So-Hyang
Yoo Jin-Young
Kim Chi-Hong
Kwon Soon-Seog
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Abstract
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Cryptococcosis is an invasive fungal infection, which is more common in immunocompromised patients. However, pulmonary cryptococcosis can occur in immunocompetent patients and should be considered on a differential diagnosis for nodular or mass-like lesions in chest radiograph. Recently, we experienced a patient with pulmonary cryptococcosis, successfully treated with oral fluconazole therapy. A 74-year-old female patient was referred for an evaluation of abnormal images, a large consolidative mass with multiple nodular consolidations and small nodules that mimics primary lung cancer with multiple lung to lung metastases. Computed tomography-guided lung biopsy confirmed the diagnosis of pulmonary cryptococcosis. The follow-up image taken after 4 months with oral fluconazole treatment showed marked improvement.
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KEYWORD
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Cryptococcosis, Lung Neoplasms, Multiple Pulmonary Nodules
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