본 환자는 평소 건강하던 38세 남자환자로 기침의 증상과 X-선상 우측폐에 경화소견을 보인 예였다. CT 유도하 세침 흡인 생검법에 의한 세균학적검사와 조직 검사로 C. neoformans에 의한 폐효모균증으로 진단하여, 6주간 fluconazole 사용후 증상은 소실되었고, X-선상 많이 호전되어 현재 추적 관찰중에 있다.
Cryptococcosis is a systemic fungal infection caused by Cryptococcus neoformans. This mycosis is best known for meningeal involvement, yet, this disease rarely can be limited to the lungs. The usual portal of entry is respiratory tract. The recently rising incidence of the disease can be attributable to wide use of steroid, immunosuppressive agents and advent of AIDS. We experienced one case of pulmonary cryptococcosis in healthy person, who was admitted to the our hospital because of cough. Cryptococcus neoformans was isolated in the sputum, and lung tissue obtained by CT guide needle aspiration biopsy. Clinical improvement was noted after 6weeks of medical therapy with fluconazole.
