著者
Makoto Nakao Hideki Muramatsu Tetsushi Takahashi Shunsuke Niwa Yusuke Kagawa Ryota Kurokawa Kazuki Sone Yuki Uozumi Misako Ohkusu Katsuhiko Kamei Hiroshi Koga
出版者
一般社団法人 日本内科学会
雑誌
Internal Medicine (ISSN:09182918)
巻号頁・発行日
vol.55, no.20, pp.3021-3024, 2016-10-15 (Released:2016-10-15)
参考文献数
17
被引用文献数
10

A 39-year-old man presented to our hospital with a four-week history of headache and a two-week history of low-grade fever. Chest X-rays showed a tumor of approximately 50 mm in size in the right lower field. A histopathological examination of a transbronchial lung biopsy specimen from the right S9/10 revealed numerous fungal elements that appeared as encapsulated yeast with clear halos. Gadolinium-enhanced brain magnetic resonance images showed multiple cerebral nodules. Cryptococcus gattii (Genotype VGIIa) was isolated from the bronchial lavage and cerebrospinal fluid specimens. The patient was an immunocompetent Japanese man who had not recently traveled to a C. gattii-endemic area.
著者
Ichiro Kawamura Katsuhiko Kamei Kyoko Yarita Misako Ohkusu Kenta Ito Mika Tsukahara Masatake Honda Kazuhisa Nakashima Hiroaki Akamatsu Hanako Kurai
出版者
日本医真菌学会
雑誌
Medical Mycology Journal (ISSN:21856486)
巻号頁・発行日
vol.55, no.3, pp.E51-E54, 2014 (Released:2014-09-18)
参考文献数
23
被引用文献数
2 9

This report describes a case of Cryptococcus gattii VGIIb infection of the pulmonary and central nervous systems in an immunocompetent Japanese man with a travel history, and it hypothesizes the place where he was infected with C. gattii using the genotype information.