Nódulo pulmonar solitario por criptococo en paciente HIV positivo. Reporte de un caso.

[Nódulo pulmonar solitario por criptococo en paciente HIV positivo. Reporte de un caso.]

Rolando Reyna1, Alba Rojas2

1. Hospital Santo tomas; 2. Hospital Santo Tomás.

Publicado: 2019-12-26

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Resumen

[Solitary pulmonary nodule by cryptococcus in HIV positive patient. Case report.]

Resumen
Se presenta el caso de un paciente masculino VIH positivo con historia de cefalea y rigidez nucal. Dada su condición clínica el paciente es hospitalizado en sala. La radiografía  de tórax es normal  y se realiza tomografía de tórax de alta resolución debido a la historia clínica de VIH encontrándose un nódulo pulmonar solitario en el pulmón derecho con márgenes irregulares al cual se realiza biopsia dirigida por tomografía resultando un diagnóstico de micosis pulmonar.

Abstract
A case of a positive VHI male patient with a history of headache and nuchal stiffness is reported. Given his clinical condition, the patient is hospitalized in the emergency room. The chest x-ray is normal and a high-resolution chest tomography is performed due to the clinical history of HIV, finding a solitary pulmonary nodule in the right lung with irregular margins to which a biopsy directed by tomography is performed, resulting in a diagnosis of pulmonary mycosis.


Abstract

[Solitary pulmonary nodule by cryptococcus in HIV positive patient. Case report.]

Resumen
Se presenta el caso de un paciente masculino VIH positivo con historia de cefalea y rigidez nucal. Dada su condición clínica el paciente es hospitalizado en sala. La radiografía  de tórax es normal  y se realiza tomografía de tórax de alta resolución debido a la historia clínica de VIH encontrándose un nódulo pulmonar solitario en el pulmón derecho con márgenes irregulares al cual se realiza biopsia dirigida por tomografía resultando un diagnóstico de micosis pulmonar.

Abstract
A case of a positive VHI male patient with a history of headache and nuchal stiffness is reported. Given his clinical condition, the patient is hospitalized in the emergency room. The chest x-ray is normal and a high-resolution chest tomography is performed due to the clinical history of HIV, finding a solitary pulmonary nodule in the right lung with irregular margins to which a biopsy directed by tomography is performed, resulting in a diagnosis of pulmonary mycosis.

Biografía del autor/a

Rolando Reyna, Hospital Santo tomas

Medico radiologo

Alba Rojas, Hospital Santo Tomás

residente de radiologia Hospital Santo tomás

Citas

[1] Bibliografia

[2] Arthur Cacacho, Umair Ashraf, Arsalan Rehmani, Masooma Niazi, and Misbahuddin Khaja, Atypical Radiographic Presentation of Cryptococcus Pneumonia in a Newly Diagnosed HIV Patient,” Case Reports in Infectious Diseases, vol. 2019, pages 1-5, 2019.

[3] Fisher JF, Valencia-Rey PA, Davis WB. Pulmonary Cryptococcosis in the Immunocompetent Patient-Many Questions, Some Answers. Open Forum Infect Dis. 2016;3(3).

[4] Sivakumar Sudhakaran, Lara Bashoura, John Stewart, Diwakar D. Balachandran, and Saadia A. Faiz. Pulmonary Cryptococcus Presenting as a Solitary Pulmonary Nodule. Am J Respir Crit Care Med Vol 196, Iss 9, pp 1217–1218, Nov 1, 2017.

[5] Hu Z, Chen J, Wang J, Xiong Q, Zhong Y, Yang Y, et al. (2017) Radiological characteristics of pulmonary cryptococcosis in HIV-infected patients. PLoS ONE 12(3): e0173858.

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