Liu H, Shen S, Wang Q. Recurrent pulmonary cryptococcosis during chronic HBV infection: A case report.
Medicine (Baltimore) 2021;
100:e28250. [PMID:
34918692 PMCID:
PMC8677983 DOI:
10.1097/md.0000000000028250]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/03/2021] [Accepted: 11/25/2021] [Indexed: 01/05/2023] Open
Abstract
RATIONALE
Pulmonary cryptococcosis is one of the important opportunistic infections and has a wide range of symptoms depending on the underlying conditions. Here, we reported a case living with chronic hepatitis B virus infection who had a recurrent pulmonary cryptococcosis.
PATIENT CONCERNS
A 51-year-old male patient was admitted to our center because of cough, fatigue, and shortness of breath for 2 weeks.
DIAGNOSIS
Pulmonary infection was suggested by chest computed tomography. Most lab examinations for infection were negative and only cryptococcal antigen testing was positive. Therefore, a clinical diagnosis of pulmonary cryptococcosis was made.
INTERVENTIONS
Fluconazole (200 mg/day) and bicyclol (50 mg/day) was given orally.
OUTCOMES
During the follow-up of 3 and 6 months, his conditions improved, and he recovered fully. Moreover, cryptococcal antigen level was 12.57 ng/mL. During the 2-year follow-up, no recurrence occurred.
LESSONS
This case highlights the importance of the awareness of opportunistic infections during chronic hepatitis B virus infection, especially the potential of recurrence.
Collapse