Acute respiratory distress syndrome due to Cryptococcus albidus pneumonia: case report and review of the literature

Med Mycol. 2007 Aug;45(5):469-73. doi: 10.1080/13693780701386015.

Abstract

Although cryptococcal infections due to Cryptococcus neoformans are frequently reported in the immunosuppressed patients, infections related to other Cryptococcus spp. are rarely reported. We are reporting a case of pulmonary infection and ARDS due to C. albidus in a patient receiving immunosuppressive therapy because of Still's disease. The diagnosis was made by tissue biopsy and culture. The patient responded to treatment with amphotericin B lipid complex 400 mg/day. The case is significant in that it reminds of yeasts as a cause of community acquired infection in the immunosuppressed patients.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Amphotericin B / therapeutic use
  • Antifungal Agents / therapeutic use
  • Biopsy
  • Cryptococcosis / complications*
  • Cryptococcosis / drug therapy
  • Cryptococcosis / microbiology
  • Cryptococcus / classification
  • Cryptococcus / isolation & purification*
  • Drug Combinations
  • Humans
  • Lung / microbiology
  • Lung / pathology
  • Male
  • Phosphatidylcholines / therapeutic use
  • Phosphatidylglycerols / therapeutic use
  • Pneumonia / complications*
  • Pneumonia / drug therapy
  • Pneumonia / microbiology
  • Respiratory Distress Syndrome / drug therapy
  • Respiratory Distress Syndrome / etiology*
  • Respiratory Distress Syndrome / microbiology

Substances

  • Antifungal Agents
  • Drug Combinations
  • Phosphatidylcholines
  • Phosphatidylglycerols
  • liposomal amphotericin B
  • Amphotericin B