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Abstract

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Article in Japanese

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

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