格特隐球菌肺炎1例

A case of Cryptococcus gattii pneumonia

格特隐球菌常引起脑膜炎,引起肺部感染者罕见。本文报道1例格特隐球菌所致肺隐球菌病患者。患者因肺部结节就诊于胸外科,术后病理符合格特隐球菌感染。格特隐球菌感染发病率较新型隐球菌低,但神经系统受累常见且并发症重,本文对格特隐球菌肺炎的危险因素、症状、诊断、治疗和预后进行讨论,以提高临床对格特隐球菌肺炎的认识。

Cryptococcus gattii often causes meningitis,but rarely causes pulmonary infections.Here,we reported a patient with asymptomatic pulmonary cryptococcosis caused by Cryptococcus gattii.The patient presented to the thoracic surgery department with an isolated pulmonary nodule that had been present for three years and underwent a thoracoscopic pulmonary wedge resection.Postoperative pathology was consistent with Cryptococcus gattii infection.Although the incidence of Cryptococcus gattii infection is lower than that of Cryptococcus neoformans,the neurological involvement is common and has severe complications.In this report,the risk factors,symptoms,diagnosis,treatment,and prognosis of Cryptococcus gattii pneumonia were discussed to improve clinical awareness of this disease.