Tuberculous peritonitis and pleurisy accompanied by pulmonary cryptococcosis: A case report

The Journal of International Medical Research
Jian-Kun ChenJi-Qiang Li

Abstract

Although the infectious diseases tuberculosis (TB) and cryptococcosis both cause formation of single or multiple nodules in immunodeficient hosts, cases of co-infection of these diseases are rarely seen. We report a patient who was co-infected with TB and cryptococcosis. A male patient with no clinical evidence of immunodeficiency presented with a 3-week history of abdominal distension accompanied by oedema of recurring lower extremities. The patient was diagnosed with tuberculous peritonitis and tuberculous pleurisy by an abdominal puncture biopsy. Several months after being treated for TB, the patient was diagnosed with Cryptococcus infection and received antifungal treatment. Computed tomographic and magnetic resonance imaging findings suggested that treatment was effective. This case illustrates the challenges encountered during assessment of neoplasms associated with TB and cryptococcosis. Differential diagnosis requires an abdominal puncture biopsy. Diagnosis of Cryptococcus infection also requires a positive cryptococcal culture and positive India ink staining analysis. Notably, our patient also showed no obvious symptoms of cryptococcosis after receiving anti-TB treatment. Accordingly, in this report, we discuss the pos...Continue Reading

References

Feb 1, 1951·American Journal of Clinical Pathology·R C RODGERC H BINFORD
Apr 17, 2004·American Journal of Respiratory and Critical Care Medicine·Inger BrockPeter Andersen
Oct 8, 2011·Mycopathologia·Chen YuchongZheng Zhizhong
Dec 30, 2014·The Lancet Global Health·Alimuddin ZumlaMatt Oliver
Sep 8, 2016·Emerging Microbes & Infections·Min ChenWeihua Pan
Aug 24, 2017·Emerging Microbes & Infections·Wenjie FangWeihua Pan

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Methods Mentioned

BETA
biopsy
enzyme-linked immunosorbent assay

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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.

Antitubercular Agents (ASM)

Antitubercular agents are pharmacologic agents for treatment of tuberculosis. Discover the latest research on antitubercular agents here.

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.

Antitubercular Agents

Antitubercular agents are pharmacologic agents for treatment of tuberculosis. Discover the latest research on antitubercular agents here.

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