Large mass-like pulmonary cryptococcosis: report of 2 cases.

W H Hsu, C D Chiang, H J Lee, W Y Yang, W L Huang, P C Kwan, M Chih-Yi Chen
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Abstract

Pulmonary cryptococcosis, a less common fungal infection, frequently reveals nodular lesions (single or multiple) and patchy infiltrations (alveolar or interstitial) on chest X rays. A large mass-like pattern is less common. Here we report 2 cases of pulmonary cryptococcosis with negative bronchoscopic findings. One patient received a right lower lobectomy under the impression of malignancy; the other received a transthoracic needle aspiration, and numerous cryptococci were found by India ink preparation. Thus, pulmonary cryptococcosis should be included in the differential diagnosis of a mass lesion. A brief review of the literature is also included about diagnostic approach and management of pulmonary cryptococcosis.

肺大团块样隐球菌病2例报告。
肺隐球菌病是一种较不常见的真菌感染,在胸部X光片上经常显示结节状病变(单个或多个)和斑片状浸润(肺泡或间质)。大的块状图案不太常见。我们报告2例肺隐球菌病,支气管镜检查结果阴性。1例患者以恶性肿瘤为假象行右下肺叶切除术;另一例经胸穿刺穿刺,印墨制备时发现大量隐球菌。因此,肺隐球菌病应包括在肿块的鉴别诊断中。对肺隐球菌病的诊断方法和治疗也作了简要的回顾。
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