[Cryptococcus where they are not expected: Five case reports of extra-cerebral and extra-pulmonary cryptococcosis]

Autor: Cazorla, Arnault, Alanio, Alexandre, Bretagne, Stéphane, Polivka, Marc, Shaar-Chneker, Caroline, Kaci, Rachid, Brouland, Jean-Philippe, Chretien, Fabrice, Jouvion, Grégory
Přispěvatelé: Service de pathologie, Hôpital Lariboisière-Fernand-Widal [APHP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Centre National de Référence des Mycoses invasives et antifongiques - Mycologie moléculaire (CNRMA), Institut Pasteur [Paris]-Centre National de la Recherche Scientifique (CNRS), Laboratoire de Parasitologie-Mycologie [CHU Saint Louis, Paris], Groupe Hospitalier Saint Louis - Lariboisière - Fernand Widal [Paris], Mycologie moléculaire, Histopathologie humaine et Modèles animaux, Institut Pasteur [Paris], Laboratoire de Neuropathologie, Centre Hospitalier Sainte Anne, Université Paris Descartes - Paris 5 (UPD5), Institut Pasteur [Paris] (IP)-Centre National de la Recherche Scientifique (CNRS), Institut Pasteur [Paris] (IP), AP-HP Hôpital Lariboisière [Paris], Centre National de Référence des Mycoses invasives et antifongiques - Mycologie moléculaire ( CNRMA ), Institut Pasteur [Paris]-Centre National de la Recherche Scientifique ( CNRS ), Laboratoire de Parasitologie-Mycologie [Paris], Assistance publique - Hôpitaux de Paris (AP-HP)-Groupe Hospitalier Saint Louis - Lariboisière - Fernand Widal [Paris], Université Paris Descartes - Paris 5 ( UPD5 ), Assistance publique - Hôpitaux de Paris (AP-HP) (APHP)-Assistance publique - Hôpitaux de Paris (AP-HP) (APHP)
Jazyk: angličtina
Rok vydání: 2015
Předmět:
Zdroj: Annales de Pathologie
Annales de Pathologie, Elsevier Masson, 2015, 35 (6), pp.479--485. ⟨10.1016/j.annpat.2015.10.001⟩
Annales de Pathologie, 2015, 35 (6), pp.479--485. ⟨10.1016/j.annpat.2015.10.001⟩
Annales de Pathologie, Elsevier Masson, 2015, 35 (6), pp.479--485. 〈10.1016/j.annpat.2015.10.001〉
ISSN: 0242-6498
DOI: 10.1016/j.annpat.2015.10.001⟩
Popis: International audience; Cryptococcosis is a serious infection, possibly lethal, of worldwide distribution. It mainly affects immunosuppressed patients resulting with pulmonary and/or meningeal involvements or disseminated infections. Due to the rarity of visceral and osseous infections, and to the absence of specific clinical symptoms, this diagnosis is often deferred. Resulting of diagnostic errors, samples are often directed to the department of pathology and more rarely to the department of mycology. Histopathological examination appears crucial, highlighting encapsulated yeasts with alcian blue staining. Once the diagnosis is performed, an appropriate antifungal therapy must be quickly introduced because these infections are associated with a high mortality rate. The aim of our work was to report five extra-cerebral and extra-pulmonary cryptococcosis cases, to describe their histopathological features, to evoke diagnostic techniques and to discuss the differential diagnoses.
Databáze: OpenAIRE