Cryptococcus infection in a patient with nasopharyngeal carcinoma: imaging findings mimicking pulmonary metastases

The British Journal of Radiology
L-M SunC-J Wang

Abstract

An asymptomatic pulmonary mass was found in a 42-year-old unmarried male with controlled nasopharyngeal carcinoma (NPC) during routine follow-up chest radiography 8 months following completion of radiotherapy. Chest CT demonstrated a 3x2 cm(2) left lower lobe (LLL) mass, with further small nodules in the same lobe. A presumptive diagnosis of lung metastases was made, and the patient underwent surgical resection with left lower lobectomy and mediastinal lymph node dissection. Pathologic examination of the masses in the LLL revealed granulomatous inflammation with cryptococcus infection. The dissected lymph nodes revealed anthracosis. The patient received 6 months of antifungal treatment with fluconazole. His NPC showed no evidence of local recurrence or distant metastases. Recognition that pulmonary cryptococcus infection can mimic metastases is important in reaching the correct diagnosis and therefore determining the correct treatment.

References

Nov 1, 1991·Reviews of Infectious Diseases·S M Levitz
Oct 1, 1967·Annals of Internal Medicine·W M NewberryF E Tosh
Dec 1, 1983·AJR. American Journal of Roentgenology·D S Feigin
Jan 1, 1996·Scandinavian Journal of Infectious Diseases·L M TangH S Chang
Dec 1, 1996·Clinical Radiology·K A MiszkielM J Harrison
Mar 24, 2000·Diagnostic Microbiology and Infectious Disease·Y C ChenW C Hsieh
Apr 9, 2001·Journal of Thoracic Imaging·L R CarucciW T Miller

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Citations

Mar 5, 2016·Mycoses·Sarah A SchmalzleDavid J Riedel
Aug 27, 2005·AJR. American Journal of Roentgenology·Danial L Fox, Nestor L Müller
Apr 7, 2007·Clinical Nuclear Medicine·Zafer Unsal CoskunOrhan K Oz
Aug 13, 2005·The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai Zasshi·Shunsuke EndoYasunori Sohara
Oct 28, 2019·Dentistry Journal·Kenji YamagataHiroki Bukawa

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Antifungals (ASM)

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.

Antifungals

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.

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