An autopsied case of pleuro-pulmonary cryptococcosis
Suzuki, K.; Tachibana, A.; Hatakeyama, S.; Okano, H.; Oka, T.
Nihon Kyobu Shikkan Gakkai Zasshi 32(4): 334-338
1994
ISSN/ISBN: 0301-1542 PMID: 8041042 Document Number: 428614
We report a case of pleuro-pulmonary cryptococcosis. An 86-year-old man was admitted to the hospital with dyspnea, a high fever and an oppressive sensation in the chest. Chest X-ray on admission revealed massive pleural effusions, interstitial shadows and consolidation with air bronchograms in both lung fields. The cause of pleural effusion was unknown. The patient died one month later. Autopsy revealed severe pleural cryptococcosis and organizing pneumonia with a small number of cryptococci but without granuloma. To our knowledge, there have been very few documented cases of pleuro-pulmonary cryptococcosis with such massive bilateral pleural effusions.