Compromiso pulmonar por cryptoccus laurentii en paciente inmunocomprometido / Pulmonary Involvement with Cryptococcus Laurentii in an Immunocompromised Patient
Rev. am. med. respir
;
20(2): 185-188, jun. 2020. ilus
Artigo
em Espanhol
|
LILACS-Express
| LILACS
| ID: biblio-1431436
RESUMEN
La criptococosis afecta predominantemente a pacientes con compromiso de la inmunidad celular. Se presenta el caso de un paciente masculino de 45 años, con antecedentes de VIH y linfoma de Hodgkin, internado por fiebre persistente sin neutropenia. El PET-TC evidenció imágenes hipermetabólicas pulmonares y ganglionares se sospechó recaída de su enfermedad y/o proceso infeccioso. Se realizó BAL, se aisló en cultivo Crytococcus laurentii. Recibió tratamiento con anfotericina B y fluconazol, cultivos de control negativos. Se repitió TC de control sin infiltrados pulmonares y persistencia de adenopatías. Realizó tratamiento con ESHAP evolucionando con buena respuesta.
ABSTRACT
Cryptococcosis mostly affects patients with cell-mediated immunity involvement. We present the case of a male patient, 45 years old, with history of HIV and Hodgkin's lymphoma, who was admitted to the hospital due to persistent fever without neutropenia. The PET-TC (Positron Emission Tomography - Computed Tomography) showed hypermetabolic pulmonary and lymph node images. We suspected disease relapse and/or the presence of an infectious process. We performed a BAL (Bronchoalveolar Lavage) and Cryptococcus laurentii was isolated in culture. The patient received treatment with amphotericin B and fluconazole, with negative control cultures. The CT control was repeated without pulmonary infiltrates and persistence of adenopathies. The patient received treatment with ESHAP and evolved with good response.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Idioma:
Espanhol
Revista:
Rev. am. med. respir
Assunto da revista:
Medicina
/
Pneumologia
Ano de publicação:
2020
Tipo de documento:
Artigo
País de afiliação:
Argentina
Instituição/País de afiliação:
Hospital Nacional Profesor Alejandro Posadas/AR
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