Li Q, Wen D, Chen Y, Yang L, Li J, Luo S. Early respiratory interventional therapy combined with antifungal agent for endobronchial cryptococcosis: A case report and literature review.
Medicine (Baltimore) 2024;
103:e37455. [PMID:
38518007 PMCID:
PMC10956943 DOI:
10.1097/md.0000000000037455]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/04/2023] [Accepted: 02/12/2024] [Indexed: 03/24/2024] Open
Abstract
RATIONALE
Cryptococcosis presenting as endobronchial obstruction and lung collapse is an extremely rare occurrence. While these patients were treated with antifungal agents, unfortunately, half of them showed a suboptimal response.
PATIENT CONCERNS
A 45-year-old immunocompetent male was admitted to the hospital due to a cough, yellow phlegm, and dyspnea persisting for 5 months. Chest computer tomography revealed a mass in the right main bronchus accompanied by right lower lobe atelectasis.
DIAGNOSES
Endobronchial cryptococcosis presenting as endobronchial obstruction and lung collapse.
INTERVENTIONS
Early rigid bronchoscopic therapy was performed to resect endobronchial obstruction, which combined with antifungal agent.
OUTCOMES
The patient recovered well with completely clinical and radiologic resolution at 1 year follow-up.
LESSONS
This case provides a good example of successful utilization of the early respiratory interventional therapy combined with antifungal agent in obstructive endobronchial cryptococcosis.
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