Indian pediatrics · 2014
Disseminated cryptococcosis.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Bothra Meenakshi, Selvaperumal Prakash, Kabra Madhulika, Joshi Prashant
Аннотация
BACKGROUND: Fungal infections, especially in immunocompetent children are uncommon causes of fever of unknown origin.
CASE CHARACTERISTICS: A 5-year-old boy with prolonged fever and no evidence of immunosuppression.
OBSERVATION: Ultrasound-guided retroperitoneal lymph node biopsy showed granulomas and intracytoplamic fungal yeasts; staining charactristics were suggestive of cryptococci. Clinical and radiological improvement was seen after treatment with amphoterecin-B.
OUTCOME: Disseminated fungal infection should be suspected as a cause of pyrexia of unknown origin after ruling out the commoner causes. Biopsy from enlarged lymph node or organomegaly may yield the diagnosis when non-invasive tests fail.
CASE CHARACTERISTICS: A 5-year-old boy with prolonged fever and no evidence of immunosuppression.
OBSERVATION: Ultrasound-guided retroperitoneal lymph node biopsy showed granulomas and intracytoplamic fungal yeasts; staining charactristics were suggestive of cryptococci. Clinical and radiological improvement was seen after treatment with amphoterecin-B.
OUTCOME: Disseminated fungal infection should be suspected as a cause of pyrexia of unknown origin after ruling out the commoner causes. Biopsy from enlarged lymph node or organomegaly may yield the diagnosis when non-invasive tests fail.