Pulmonary cryptococcoma mimicking pulmonary malignancy in an immunocompetent adult: a case report.

Pulmonary cryptococcal infection is commonly seen in HIV patients and in patients who have compromised cell mediated immunity. Its occurrence in immunocompetent individuals is uncommon. Here we present a young adult who presented with cough and hemoptysis and is negative for HIV testing and has no clinical and laboratory evidences of conditions compromising his cell mediated immunity. Radiologically manifested as a solitary huge parenchymal mass lesion mimicking lung malignancy. He was finally diagnosed as having pulmonary cryptococcoma after open biopsy. This is an uncommon manifestation of cryptococcoma in immunologically competent patient.