Full Text of PDF (752k)
Article in Japanese
Abstract
Case Report
A case of cryptococcal pyopneumothorax
Wataru Yamaguchia Toru Kojimaa Junya Nakayaa Rika Moriyaa Toshikazu Takasakia Keiichiro Takaseb
aDepartment of Respiratory Medicine, Fukui Prefectural Hospital
bFukui Prefectural Medical Center for Child Rehabilitation
ABSTRACT
A 76-year-old woman lost consciousness as a result of CO2 and was admitted to our hospital. A chest X-ray and computed tomography showed shadows and cavity lesions in the left lung and left pneumothorax with bilateral pleural effusion. We treated her with noninvasive positive pressure ventilation and chest drainage. Cryptococcus neoformans was cultured from the pleural effusion, and a pleural-fluid cryptococcus antigen test was positive simultaneously. Therefore we diagnosed pyopneumothorax caused by C. neoformans. She received an antifungal drug and was treated pleurodesis with OK-432, and she responded well to antifungal therapy and pleurodesis. We suggest that pleurodesis is useful in this case of inoperable cryptococcal pyopneumothorax.
KEYWORDS
Cryptococcus Empyema Pneumothorax Pyopneumothorax Pleurodesis
Received 23 Jan 2012 ／ Accepted 24 Apr 2012
AJRS, 1(7): 578-583, 2012
Copyright © The Japanese Respiratory Society All Rights Reserved.