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The Diagnostic Challenge of an Infrequent Spectrum of Cryptococcus Infection.
Barbosa De Araujo Neto, Francisco; Corona De Godoy Bueno, Camila; Tambelini Gomes, Liege; Alejandra Ortiz Navas, Daniela; Wanderley, Mark; Gallotti Borges Carneiro, Stefanie; Karine Veras Gomes De Mello, Rita; Mendes Coura, Laura; Sayuri Missumi, Larissa; Durante, Henrique; Cintra Zagatti, Ricardo Francisco; Sawamura, Márcio Valente Yamada.
Afiliação
  • Barbosa De Araujo Neto F; MD, Radiologist, Department of Radiology of the Medical School of the University of São Paulo, São Paulo, SP, Brazil.
  • Corona De Godoy Bueno C; MD, Doctor Resident in Radiology, Department of Radiology of the Medical School of the University of São Paulo, São Paulo, SP, Brazil.
  • Tambelini Gomes L; MD, Doctor Resident in Radiology, Department of Radiology of the Medical School of the University of São Paulo, São Paulo, SP, Brazil.
  • Alejandra Ortiz Navas D; MD, Pathology Resident, Department of Pathology of the Medical School of the University of São Paulo, São Paulo, SP, Brazil.
  • Wanderley M; MD, Radiologist, Department of Radiology of the Medical School of the University of São Paulo, São Paulo, SP, Brazil.
  • Gallotti Borges Carneiro S; MD, Radiologist, Department of Radiology of the Hospital Heliópolis, São Paulo, SP, Brazil.
  • Karine Veras Gomes De Mello R; MD, Radiologist, Department of Radiology of the Hospital Heliópolis, São Paulo, SP, Brazil.
  • Mendes Coura L; MD, Doctor Resident in Radiology, Department of Radiology of the Medical School of the University of São Paulo, São Paulo, SP, Brazil.
  • Sayuri Missumi L; MD, Doctor Resident in Radiology, Department of Radiology of the Medical School of the University of São Paulo, São Paulo, SP, Brazil.
  • Durante H; MD, Doctor Resident in Radiology, Department of Radiology of the Medical School of the University of São Paulo, São Paulo, SP, Brazil.
  • Cintra Zagatti RF; MD, Radiologist, Department of Radiology of the Medical School of the University of São Paulo, São Paulo, SP, Brazil.
  • Sawamura MVY; MD, Radiologist, Department of Radiology of the Medical School of the University of São Paulo, São Paulo, SP, Brazil.
Case Rep Radiol ; 2019: 5970648, 2019.
Article em En | MEDLINE | ID: mdl-30719369
Cryptococcal infection results from inhalation of fungal spores and usually is confined to the lungs, but may disseminate systemically. Radiologically, cryptococcal infection has multiple forms of presentation. The diagnosis is usually based on fungal isolation from cultured clinical specimens. Long term antifungal therapy is recommended, but surgical procedures may eventually be necessary when large thoracic symptomatic masses are present. We report a case of a 41-year-old male, immunocompetent, investigating a palpable mass in the left supraclavicular region associated with unintentional weight loss over the last three months. He also reported chest pain in this period. Chest X-ray, ultrasonography, and computed tomography were performed, which diagnosed a mediastinal and left supraclavicular mass, interpreted as lymph node conglomerates of unknown etiology. He also underwent a biopsy of the left supraclavicular mass for etiological determination by histopathology, which confirmed cryptococcosis infection. Although very infrequent, mediastinal cryptococcal infection (simulating masses) is a challenging but important differential diagnosis of benign and malignant lesions, since its treatment is usually clinical.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Diagnostic_studies Idioma: En Revista: Case Rep Radiol Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Diagnostic_studies Idioma: En Revista: Case Rep Radiol Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos