Surgical Resection during Chemotherapy of Pulmonary Cryptococcoma in a Patient with Cryptococcal Meningitis.

Abstract

We herein report the case of a 72-year-old-man with pulmonary cryptococcoma along with cryptococcal meningitis who underwent surgery for pulmonary lesions while receiving chemotherapy. We noted two major clinical issues. First, the presence of pulmonary cryptococcoma had a detrimental influence on the cryptococcal meningitis. Second, resolution of the pulmonary cryptococcoma through antifungal therapy had a beneficial influence on the recovery from cryptococcal meningitis. As observed in the current case with pulmonary and meningeal cryptococcosis, surgery for pulmonary cryptococcoma with continuous antifungal treatment should be considered for cases where the symptoms respond poorly to antifungal therapy and radiographic abnormalities persist.

• Authors: Yuji Tanaka, Kazuo Satomi
• Journal: Internal medicine (Tokyo, Japan) (Intern Med) 2017 Vol. 56 Issue 1 Pg. 91-93 ISSN: 1349-7235 [Electronic] Japan
• PMID: 28050006 (Publication Type: Case Reports, Journal Article)

Chemical References

• Antifungal Agents

Topics

• Aged
• Antifungal Agents (therapeutic use)
• Cryptococcosis (diagnosis, surgery)
• Humans
• Lung Diseases, Fungal (drug therapy, surgery)
• Male
• Meningitis, Cryptococcal (diagnosis, surgery)
• Treatment Outcome