Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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Various Pulmonary Manifestations of the Cryptococcal Pneumoniae in the Three Immunocompetent Patients

다양한 양상으로 발현된 폐크립토콕스증 3예

  • Park, Jin-Chan (Department of Internal Medicine, College of Medicine of Pochon CHA University) ;
  • Kim, Hyung-Tae (Department of Internal Medicine, College of Medicine of Pochon CHA University) ;
  • Jeung, Hun (Department of Internal Medicine, College of Medicine of Pochon CHA University) ;
  • Park, Ji-Han (Department of Internal Medicine, College of Medicine of Pochon CHA University) ;
  • Choi, Jae-Hyuck (Department of Internal Medicine, College of Medicine of Pochon CHA University) ;
  • Kim, Hyeon-Tae (Department of Internal Medicine, College of Medicine of Pochon CHA University) ;
  • Park, Jae-Min (Department of Internal Medicine, College of Medicine of Pochon CHA University) ;
  • Lee, Yong-Hee (Department of Pathology, College of Medicine of Pochon CHA University) ;
  • Kim, Jeung-Sook (Department of Radiology, College of Medicine of Pochon CHA University)
  • 박진찬 (포천중문의과대학 내과학교실) ;
  • 김형태 (포천중문의과대학 내과학교실) ;
  • 정훈 (포천중문의과대학 내과학교실) ;
  • 박지한 (포천중문의과대학 내과학교실) ;
  • 최재혁 (포천중문의과대학 내과학교실) ;
  • 김현태 (포천중문의과대학 내과학교실) ;
  • 박재민 (포천중문의과대학 내과학교실) ;
  • 이용희 (포천중문의과대학 해부병리학교실) ;
  • 김정숙 (포천중문의과대학 방사선과학교실)
  • Published : 2001.03.31
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Abstract

More than half of the cryptococcal infections occur in acquired immune deficiency (AIDS) patients, and more than half of the non-AIDS patients with cryptococcosis are immunocompromised. Most immunocompromised patients have meningoencephalitis at the time of diagnosis. Without the appropriate therapy, this form of the infection is invariably fatal. Death can occur any time from 2 weeks to several years after the onset of symptoms. Pulmonary cryptococcosis in immunocompromised patients is usually asymptomatic, but coughing, chest pain, fever, or hemoptysis may occur in immunocompetent patients. Pulmonary cryptococcosis symptoms in immunocompetent patients tend to improve without treatment. Here, we describe the various pulmonary manifestations of cryptococcal pneumoniae in three immunocompetent patients.

저자들은 평소 비교적 건강하게 생활해온 중노년의 여성들에서 결절 혹은 폐경결 등 다양한 양상으로 발현되어 악성 폐종양 및 미만성 폐질환과 감별이 필요했던 크립토콕스 폐렴 3예를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

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