Acute medicine & surgery · 2026
Fatal Outcome due to Disseminated Cryptococcosis in a Patient With HIVrequiring Veno-Arterial Extracorporeal Membrane Oxygenation: A Case Report.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
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Sasamoto Taisei, Kawahara Naoki, Matsui Hiroki, Morishita Koji
Аннотация
BACKGROUND: Disseminated cryptococcosis is a severe, high-mortality opportunistic infection with systemic effects, particularly in immunocompromised patients.
CASE PRESENTATION: Herein, we report a rare case of fulminant disseminated cryptococcosis in a 32-year-old male with undiagnosed advanced human immunodeficiency virus/acquired immune deficiency syndrome who rapidly developed multi-organ failure, refractory shock, and cardiac arrest within 21 h of admission, necessitating veno-arterial extracorporeal membrane oxygenation. Despite resuscitative efforts, the patient died on Day 6.
CONCLUSION: This case highlights the accelerated progression of disseminated cryptococcosis in patients with profound immunosuppression and the unique autopsy findings of extensive myocardial cryptococcal infiltration and microemboli, suggesting a contribution to acute refractory shock.
CASE PRESENTATION: Herein, we report a rare case of fulminant disseminated cryptococcosis in a 32-year-old male with undiagnosed advanced human immunodeficiency virus/acquired immune deficiency syndrome who rapidly developed multi-organ failure, refractory shock, and cardiac arrest within 21 h of admission, necessitating veno-arterial extracorporeal membrane oxygenation. Despite resuscitative efforts, the patient died on Day 6.
CONCLUSION: This case highlights the accelerated progression of disseminated cryptococcosis in patients with profound immunosuppression and the unique autopsy findings of extensive myocardial cryptococcal infiltration and microemboli, suggesting a contribution to acute refractory shock.