Disseminated Cryptococcosis Complicated with Bilateral Pleural Effusion and Ascites during Corticosteroid Therapy for Organizing Pneumonia with Myelodysplastic Syndrome

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概要

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• An 83-year-old man with myelodysplastic syndrome was admitted to our hospital due to dyspnea and abnormal shadows on chest X-ray films during corticosteroid therapy for organizing pneumonia. He was diagnosed as having disseminated cryptococcosis with pulmonary lesions after detecting Cryptococcus neoformans. Both bilateral pleural effusion with or without ipsilateral pulmonary lesions and ascites ensued, and it was assumed that both direct involvement and serositis were associated with the fluid accumulation. Cryptococcal yeast was only detected in the right pleural effusion, and the titer of cryptococcal antigen was quite different between body cavities, even though it was positive in all sites.

• 社団法人 日本内科学会の論文

著者

• Takemura Tamiko

  Pathology Laboratory Nippon Red Cross Hospital Center

• Oritsu Masaru

  Respiratory Medicine Japanese Red Cross Medical Center

• Moriya Atsuko

  Respiratory, Japanese Red Cross Medical Center

• Takemura Tamiko

  Pathology, Japanese Red Cross Medical Center

• Kamiya Hiroyuki

  Respiratory, Japanese Red Cross Medical Center

• Ishikawa Rie

  Respiratory, Japanese Red Cross Medical Center

• Arai Aiko

  Respiratory, Japanese Red Cross Medical Center

• Morimoto Kozo

  Respiratory, Japanese Red Cross Medical Center

• Ando Tsunehiro

  Respiratory, Japanese Red Cross Medical Center

• Ikushima Soichiro

  Respiratory, Japanese Red Cross Medical Center

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• Mosaic-like distribution of endothelial cell antigens in capillaries and juxta-alveolar microvessels in the normal human lung
• Vascular involvement in cutaneous sarcoidosis
• Disseminated Cryptococcosis Complicated with Bilateral Pleural Effusion and Ascites during Corticosteroid Therapy for Organizing Pneumonia with Myelodysplastic Syndrome

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