Differential diagnosis requires an abdominal puncture biopsy. This case illustrates the challenges encountered during assessment of neoplasms associated with TB and cryptococcosis. Computed tomographic and magnetic resonance imaging findings suggested that treatment was effective. Several months after being treated for TB, the patient was diagnosed with Cryptococcus infection and received antifungal treatment. The patient was diagnosed with tuberculous peritonitis and tuberculous pleurisy by an abdominal puncture biopsy. A male patient with no clinical evidence of immunodeficiency presented with a 3-week history of abdominal distension accompanied by oedema of recurring lower extremities. We report a patient who was co-infected with TB and cryptococcosis. 2000 30:710–8.Although the infectious diseases tuberculosis (TB) and cryptococcosis both cause formation of single or multiple nodules in immunodeficient hosts, cases of co-infection of these diseases are rarely seen. Practice guidelines for the management of cryptococcal disease. Clinical practice guidelines for the management of cryptococcal disease: 2010 update by the Infectious Diseases Society of America. Management of cryptococcosis in non-HIV-related patients. The immune response to fungal infections. Laryngeal cryptococcus: a rare cause of hoarseness in renal allograft recipient. Squamous cell proliferation as a reactive mechanism to laryngeal cryptococcus infection: a case report. Rapid identification of Cryptococcus neoformans and Cryptococcus gattii by matrix-assisted laser desorption ionization-time of flight mass spectrometry. Histopathologic diagnosis of fungal infections in the 21st century. Disseminated cryptococcosis in an immunocompetent patient: a case report. Reversible blindness in cryptococcal meningitis with normal intracranial pressure: case report and review of the literature. Laryngeal cryptococcosis associated with inhaled corticosteroid use: case reports and literature review. Cryptococcal lymphadenitis: report of a case with fine needle aspiration cytology. Acta Dermatovenol Alpina, Pannonica ET Adriatica. A solitary cryptococcal granuloma in an immunocompetent host. Pathobiology of fungal infections of the central nervous system with special reference to the Indian scenario. What makes Cryptococcus neoformans a pathogen? Emerg Infect Dis. Imaging features of central nervous system fungal infections. Epidemiology of central nervous system mycoses. Cryptococcal meningitis: clinical, diagnostic and therapeutic overview. Integrated therapy for HIV and cryptococcosis. Evaluation of the neck mass in human immunodeficiency virus-infected patients. Head and neck manifestations during HIV infection. Principles and practice of infectious diseases. Fluconazole monotherapy is recommended during the consolidation and maintenance phases. amphotericin B plus flucytosine or fluconazole, is preferred in the induction phase. Antifungal therapy consists of three phases: induction, consolidation, and maintenance. Treatment of cryptococcosis consists of three main aspects: antifungal therapy, intracranial pressure management for cryptococcal meningitis, and restoration of immune function with antiretroviral therapy (ART). Early diagnosis and treatment is the key to treatment success. Laboratory diagnosis of cryptococcosis includes direct microscopic examination, isolation of Cryptococcus from a clinical specimen, and detection of cryptococcal antigen. Mucocutaneous lesions include nodular, granulomatous mass or in the form of superficial or deep ulcers. Specifically, in the head and neck, it has been shown to involve the nasopharynx, paranasal sinuses, tonsils, oral cavity and larynx. Disseminated infection may affect multiple organs. Cryptococcosis includes three types of infections: Cryptococcal meningitis (most common presentation), Pulmonary cryptococcosis and cutaneous cryptococcosis. Exposure usually occurs through inhalation of aerosolised propagules. It is one of the common causes of mortality among HI-infected patients. Cryptococcosis has been one of the most common opportunistic mycosis caused by Cryptococcus neoformans.
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