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Isolated Pulmonary Cryptococcosis in an Immunocompetent Patient

Isolated Pulmonary Cryptococcosis in an Immunocompetent Patient▶ Watch on YouTube — age-restricted, cannot embed here

Imaging findings

Chest radiograph in 2004 showed a subtle nodule. CT revealed several pulmonary nodules, including one with a clear air bronchogram. One of these nodules was biopsied under CT guidance.

Key takeaways

This case highlights isolated pulmonary cryptococcosis in a patient who was considered immunocompetent (HIV negative, well-controlled diabetes), which is an uncommon presentation. The presence of pulmonary nodules, one with an air bronchogram, led to CT-guided biopsy and diagnosis, emphasizing that cryptococcosis can occur in patients without overt immunosuppression.

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