A Case of Pulmonary Cryptococcosis Followed by Pulmonary Tuberculosis Developed after Bilateral Adrenalectomy.

Lee, Won Young; Cho, Young Suk; Kim, Mi Young; Ahn, Rhee Sook; Song, So Hyang; Lee, Sook Young; Kim, Young Kyoon; Kim, Kwan Hyung; Park, Sung Hak

doi:1995.42.1.93

Tuberc Respir Dis > Volume 42(1); 1995 > Article

Case Report

Tuberculosis and Respiratory Diseases 1995;42(1):93-98.
DOI: https://doi.org/10.4046/trd.1995.42.1.93 Published online February 1, 1995.

A Case of Pulmonary Cryptococcosis Followed by Pulmonary Tuberculosis Developed after Bilateral Adrenalectomy.

Won Young Lee, Young Suk Cho, Mi Young Kim, Rhee Sook Ahn, So Hyang Song, Sook Young Lee, Young Kyoon Kim, Kwan Hyung Kim, Sung Hak Park

Department of Internal Medicine, Catholic University Medical College, Seoul, Korea.

Abstract

Cryptococcosis is a systemic infection caused by the yeast-like fungus Cryptococcus neoformans. Respiratory tract is the usual portal of infection but relatively few cases of pulmonary cryptococcosis have been reported. Recently the incidence of the disease are increasing because the perception to seek the disease is increasing and immunocompromised hosts are more widespread with introduction of immune-suppressants, steroids and advent of AIDS. Because of nonspecific pattern of clinical manifestation, radiologic findings, differentiating the other diseases is essential and it needs fungal culture and biopsy. We describe a patient in the state of bilateral adrenalectomy due to bilateral ACTH-independent macronodular hyperplasia who developed pulmonary cryptococcosis and was later infected with pulmonary tuberculosis.

Key Words: Pulmonary cryptococcosis, Tuberculosis, Bilateral adrenalectomy