Isolated Pulmonary Cryptococcosis in an Immunocompetent Patient Presenting with Right Shoulder Pain: A Case Report and Review of the Literature

Author:

Cheung RKH,Ng F1,Wong CT2,Tsui WMS3

Affiliation:

1. Caritas Medical Centre, Accident & Emergency Department, 111 Wing Hong Street, Sham Shui Po, Kowloon, Hong Kong

2. Caritas Medical Centre, Department of Diagnostic Radiology, 111 Wing Hong Street, Sham Shui Po, Kowloon, Hong Kong

3. Kowloon West Cluster Pathology Service, Hong Kong

Abstract

Cryptococcosis is an important systemic fungal infection occurring predominantly in immunocompromised patients. We report a case of isolated pulmonary cryptococcosis in an ambulant middle-age lady who presented to the emergency department with right shoulder pain. The clue to lung pathology was right apical haziness best seen in the apical lordotic radiograph. The diagnosis was established by transbronchial lung biopsy. She did not have underlying immunosuppression or extrapulmonary disease. She was closely observed without anti-fungal therapy, and showed radiographic improvement during the five-month period of follow up.

Publisher

SAGE Publications

Subject

Emergency Medicine

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