Konan Ahou Sandrine, Zika Kalou Dibert, Kouakou Affoué Sandrine Josette, Kouamé Appi Sandrine, Soro Malick Senanminfoun, Adoubryn Koffi Daho
Parasitology-Mycology Laboratory, Teaching Hospital University of Bouake, 01 BP 1174 Bouake 01, Cote d'Ivoire.
School of Medicine, Alassane Ouattara University, BPV 18 Bouake, Cote d'Ivoire.
Med Mycol Case Rep. 2025 Mar 21;48:100701. doi: 10.1016/j.mmcr.2025.100701. eCollection 2025 Jun.
Cryptococcosis is an opportunistic mycosis caused by , mainly affecting the immunocompromised. We report a case of pulmonary cryptococcosis within a 31-year-old immunocompetent patient admitted for painful chest swelling evolving for 4 months prior to admission. The chest X-Ray showed a rounded pulmonary opacity. The chest ultrasound revealed a pulmonary abscess diffusing under the skin. Direct examination using the Indian ink and the May-Grunwald Giemsa staining revealed encapsulated yeasts in the pus. The Culture of the pus on the Sabouraud medium with chloramphenicol confirmed the presence of . Cryptococcal antigen was positive. This case reminds us that cryptococcosis should be considered even without immunosuppression.
隐球菌病是一种由[病原体未明确]引起的机会性真菌病,主要影响免疫功能低下者。我们报告一例31岁免疫功能正常的患者发生肺隐球菌病,该患者因胸痛性胸部肿胀入院,入院前已持续4个月。胸部X线显示肺部有圆形不透明阴影。胸部超声显示皮下有扩散的肺脓肿。使用印度墨汁和迈-格二氏染色进行直接检查,在脓液中发现了有荚膜的酵母。在含有氯霉素的沙氏培养基上进行脓液培养,证实了[病原体未明确]的存在。隐球菌抗原呈阳性。该病例提醒我们,即使没有免疫抑制,也应考虑隐球菌病。