Pulmonary Cryptococcosis

C. C. Chang, T. C. Sorrell, S. C.-A. Chen

Research output: Contribution to journalReview ArticleResearchpeer-review

26 Citations (Scopus)

Abstract

Inhalation of Cryptococcus into the respiratory system is the main route of acquisition of human infection, yet pulmonary cryptococcosis goes mostly unrecognized by many clinicians. This delay in diagnosis, or misdiagnosis, of lung infections is due in part to frequently subtle clinical manifestations such as a subacute or chronic cough, a broad differential of diagnostic possibilities for associated pulmonary masses (cryptococcomas) and, on occasion, negative respiratory tract cultures. Hematogenous dissemination from the lung can result in protean manifestations, the most severe of which is meningoencephalitis. There are few clinical studies of pulmonary cryptococcosis and its pathogenesis is poorly understood. The main purpose of this review is to describe the epidemiology, clinical presentation, diagnosis, and treatment of pulmonary cryptococcosis to increase clinician's awareness of this diagnostic possibility and to enhance clinical management. Useful pointers to the approach and management of pulmonary cryptococcosis and the implications of disseminated disease are included, together with recommendations for future research.

Original languageEnglish
Pages (from-to)681-691
Number of pages11
JournalSeminars in Respiratory and Critical Care Medicine
Volume36
Issue number5
DOIs
Publication statusPublished - 25 Oct 2015
Externally publishedYes

Keywords

  • C. gattii
  • C. neoformans
  • cryptococcomas
  • invasive fungal disease
  • pulmonary cryptococcosis

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