A Case of Disseminated Cryptococcal Infection and Concurrent Lung Tuberculosis in a Patient under Steroid Therapy for Interstitial Pneumonia
Both disseminated cryptococcal infection and tuberculosis occur in hosts with impaired cell-mediated immunity, but there have been few reports about the concurrent infections in patients without human immunodeficiency virus infection. A 64-year-old man, who had been taking corticosteroids for inters...
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| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Pulmonology |
| Online Access: | http://dx.doi.org/10.1155/2015/358926 |
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| _version_ | 1832552731300069376 |
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| author | Aoi Kuroda Sadatomo Tasaka Kazuma Yagi Takao Mochimaru Tetsuo Tani Ho Namkoong Kyuto Tanaka Yusuke Suzuki Mami Hatano Naoki Hasegawa Yasunori Okada Tomoko Betsuyaku |
| author_facet | Aoi Kuroda Sadatomo Tasaka Kazuma Yagi Takao Mochimaru Tetsuo Tani Ho Namkoong Kyuto Tanaka Yusuke Suzuki Mami Hatano Naoki Hasegawa Yasunori Okada Tomoko Betsuyaku |
| author_sort | Aoi Kuroda |
| collection | DOAJ |
| description | Both disseminated cryptococcal infection and tuberculosis occur in hosts with impaired cell-mediated immunity, but there have been few reports about the concurrent infections in patients without human immunodeficiency virus infection. A 64-year-old man, who had been taking corticosteroids for interstitial pneumonia, was diagnosed with disseminated cryptococcal infection. While the patient was receiving anticryptococcal therapy, pulmonary tuberculosis also emerged. The patient developed acute exacerbation of interstitial pneumonia and passed away. Based on the patient’s clinical course, serial computed tomography images, and autopsy results, we believe that the preceding several months of corticosteroid treatment might have contributed to these coinfections in the lungs already vulnerable due to underlying fibrosis. |
| format | Article |
| id | doaj-art-a07fe2e67b1c4f80b893abdead46d680 |
| institution | Kabale University |
| issn | 2090-6846 2090-6854 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Pulmonology |
| spelling | doaj-art-a07fe2e67b1c4f80b893abdead46d6802025-02-03T05:58:06ZengWileyCase Reports in Pulmonology2090-68462090-68542015-01-01201510.1155/2015/358926358926A Case of Disseminated Cryptococcal Infection and Concurrent Lung Tuberculosis in a Patient under Steroid Therapy for Interstitial PneumoniaAoi Kuroda0Sadatomo Tasaka1Kazuma Yagi2Takao Mochimaru3Tetsuo Tani4Ho Namkoong5Kyuto Tanaka6Yusuke Suzuki7Mami Hatano8Naoki Hasegawa9Yasunori Okada10Tomoko Betsuyaku11Division of Pulmonary Medicine, Department of Internal Medicine, Keio University School of Medicine, JapanDivision of Pulmonary Medicine, Department of Internal Medicine, Keio University School of Medicine, JapanDivision of Pulmonary Medicine, Department of Internal Medicine, Keio University School of Medicine, JapanDivision of Pulmonary Medicine, Department of Internal Medicine, Keio University School of Medicine, JapanDivision of Pulmonary Medicine, Department of Internal Medicine, Keio University School of Medicine, JapanDivision of Pulmonary Medicine, Department of Internal Medicine, Keio University School of Medicine, JapanDivision of Pulmonary Medicine, Department of Internal Medicine, Kawasaki Municipal Hospital, JapanDivision of Pulmonary Medicine, Department of Internal Medicine, Keio University School of Medicine, JapanDepartment of Pathology, Keio University School of Medicine, JapanCenter for Infectious Diseases and Infection Control, Keio University School of Medicine, JapanDepartment of Pathology, Keio University School of Medicine, JapanDivision of Pulmonary Medicine, Department of Internal Medicine, Keio University School of Medicine, JapanBoth disseminated cryptococcal infection and tuberculosis occur in hosts with impaired cell-mediated immunity, but there have been few reports about the concurrent infections in patients without human immunodeficiency virus infection. A 64-year-old man, who had been taking corticosteroids for interstitial pneumonia, was diagnosed with disseminated cryptococcal infection. While the patient was receiving anticryptococcal therapy, pulmonary tuberculosis also emerged. The patient developed acute exacerbation of interstitial pneumonia and passed away. Based on the patient’s clinical course, serial computed tomography images, and autopsy results, we believe that the preceding several months of corticosteroid treatment might have contributed to these coinfections in the lungs already vulnerable due to underlying fibrosis.http://dx.doi.org/10.1155/2015/358926 |
| spellingShingle | Aoi Kuroda Sadatomo Tasaka Kazuma Yagi Takao Mochimaru Tetsuo Tani Ho Namkoong Kyuto Tanaka Yusuke Suzuki Mami Hatano Naoki Hasegawa Yasunori Okada Tomoko Betsuyaku A Case of Disseminated Cryptococcal Infection and Concurrent Lung Tuberculosis in a Patient under Steroid Therapy for Interstitial Pneumonia Case Reports in Pulmonology |
| title | A Case of Disseminated Cryptococcal Infection and Concurrent Lung Tuberculosis in a Patient under Steroid Therapy for Interstitial Pneumonia |
| title_full | A Case of Disseminated Cryptococcal Infection and Concurrent Lung Tuberculosis in a Patient under Steroid Therapy for Interstitial Pneumonia |
| title_fullStr | A Case of Disseminated Cryptococcal Infection and Concurrent Lung Tuberculosis in a Patient under Steroid Therapy for Interstitial Pneumonia |
| title_full_unstemmed | A Case of Disseminated Cryptococcal Infection and Concurrent Lung Tuberculosis in a Patient under Steroid Therapy for Interstitial Pneumonia |
| title_short | A Case of Disseminated Cryptococcal Infection and Concurrent Lung Tuberculosis in a Patient under Steroid Therapy for Interstitial Pneumonia |
| title_sort | case of disseminated cryptococcal infection and concurrent lung tuberculosis in a patient under steroid therapy for interstitial pneumonia |
| url | http://dx.doi.org/10.1155/2015/358926 |
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