Cryptococcal Peritonitis in a Patient with Decompensated Liver Cirrhosis.
| Autor: | Libera R; Department of Medicine, Reading Hospital - Tower Health, West Reading, PA, USA., Dimala CA; Department of Medicine, Reading Hospital - Tower Health, West Reading, PA, USA., Oakes K; Drexel College of Medicine, Philadelphia, PA USA., Moss C; Department of Medicine, Reading Hospital - Tower Health, West Reading, PA, USA. |
|---|---|
| Jazyk: | angličtina |
| Zdroj: | Journal of community hospital internal medicine perspectives [J Community Hosp Intern Med Perspect] 2023 Jan 10; Vol. 13 (1), pp. 51-53. Date of Electronic Publication: 2023 Jan 10 (Print Publication: 2023). |
| DOI: | 10.55729/2000-9666.1139 |
| Abstrakt: | Cryptococcus is a rare pathogenic fungus that is known primarily for causing meningeal and pulmonary disease in immunocompromised patients. There are scarce reports of other varieties of cryptococcal infections, such as disseminated and peritoneal disease. Here we present a very rare case of an elderly female patient with a history of non-alcoholic steatohepatitis (NASH) cirrhosis who presented with symptoms of dyspnea and abdominal distention and was found to have Cryptococcus neoformans pleuritis and peritonitis without evidence of disseminated disease. The patient was treated with antifungals consisting of amphotericin and flucytosine followed by fluconazole. This case describes a previously unknown pattern of disease spread and adds to the body of knowledge on Cryptococcus . Additionally, it reinforces growing evidence in the literature that cirrhosis is a risk factor for Cryptococcus . Competing Interests: Conflict of interest There is no conflict of interest. (© 2023 Greater Baltimore Medical Center.) |
| Databáze: | MEDLINE |
| Externí odkaz: |
|