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KMID : 0984720050370060350
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Infection and Chemotherapy
2005 Volume.37 No. 6 p.350 ~ p.354
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A Case Report on Cryptococcal Lymphadenitis in an Immunocompetent Adult Patient
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Hyun Jong-Jin
Choi Jong-Hwan
Park Sang-Hoon
Jeong Hye-Won
Jung Sung-Joo
Kee Sae-Yoon
Cheong Hee-Jin
Kim Woo-Joo
Choi Jung-Woo
Lee Joo-Han
Lee Na-Ri
Jeon Soung-Min
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Abstract
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Cryptococcus neoformans is an organism that mainly causes opportunistic infection in immunocompromised patients. It can also cause various infections in immunocompetent patients, but cryptococcal lymphadenitis is rare. We have experienced a case of cryptococcal lymphadenitis in an immunocompetent adult patient who presented with cervical lymphadenopathy and fever that did not subside for 3 weeks. Neck and chest CT scan showed multiple lymph node enlargements with central low density and peripheral enhancement on both hilar, mediastinal, and right supraclavicular areas. Cryptococcus lymphadenitis was diagnosed by tissue biopsy, PAS and GMS stain, and culture. This case emphasizes that when an immunocompetent patient presents with lymphadenopathy, cryptococcal lymphadenitis should always be considered in the differential diagnosis.
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KEYWORD
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Cryptococcus neoformans, Cryptococcal lymphadenitis, Immunocompetent patient
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