Document Detail


Disseminated cryptococcosis complicated with bilateral pleural effusion and ascites during corticosteroid therapy for organizing pneumonia with myelodysplastic syndrome.
MedLine Citation:
PMID:  19015612     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Hiroyuki Kamiya; Rie Ishikawa; Atsuko Moriya; Aiko Arai; Kozo Morimoto; Tsunehiro Ando; Soichiro Ikushima; Masaru Oritsu; Tamiko Takemura
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-11-17
Journal Detail:
Title:  Internal medicine (Tokyo, Japan)     Volume:  47     ISSN:  1349-7235     ISO Abbreviation:  Intern. Med.     Publication Date:  2008  
Date Detail:
Created Date:  2008-11-18     Completed Date:  2009-06-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9204241     Medline TA:  Intern Med     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  1981-6     Citation Subset:  IM    
Affiliation:
Japanese Red Cross Medical Center, Tokyo. mlb04194@nifty.com
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MeSH Terms
Descriptor/Qualifier:
Adrenal Cortex Hormones / therapeutic use*
Aged, 80 and over
Ascites / complications,  diagnosis*,  drug therapy
Cryptococcosis / complications,  diagnosis*,  drug therapy
Cryptogenic Organizing Pneumonia / complications,  diagnosis*,  drug therapy
Humans
Male
Myelodysplastic Syndromes / complications,  diagnosis*,  drug therapy
Pleural Effusion / complications,  diagnosis*,  drug therapy
Chemical
Reg. No./Substance:
0/Adrenal Cortex Hormones

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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