A case of colonic cryptococcosis

Jae Chun Song, Sang Kyum Kim, Eak Seong Kim, I. S. Jung, Young Goo Song, Jeong Sik Yu, HyoJin Park

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

We experienced a rare case of colonic cryptococcosis in an apparently immunocompetent individual. A 27-year- old woman admitted our hospital for intermittent melena. Initial abdominal CT scan revealed a mass lesion obstructing most of the lumen in ascending colon. Colonoscopy showed huge ulcerofungating mass in proximal ascending colon. Colonoscopic biopsy was performed and pathologic diagnosis was made as colonic cryptococcosis with positive PAS stain. Laboratory test evaluating immune status and bone marrow examination was normal. The patient was treated with intravenous amphotericin B for four weeks and six months of oral fluconazole afterwards. Follow-up abdominal CT scan and colonoscopy were taken at four weeks and seven months after the beginning of treatment. On completion of intravenous amphotericin B treatment, the mass lesion was decreased in abdominal CT and colonoscopy. After seven months, abdominal CT and colonoscopy showed near-complete resolution of the colonic lesion so the treatment ended. Cryptococcosis in a healthy individual is a rare disease and there have been only several sporadic case reports on pulmonary or central nervous system involvement. Hence, we report a case of colonic cryptococcosis in an apparently immunocompetent individual.

Original languageEnglish
Pages (from-to)255-260
Number of pages6
JournalThe Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi
Volume52
Issue number4
Publication statusPublished - 2008 Jan 1

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Cryptococcosis
Colonoscopy
Ascending Colon
Amphotericin B
Bone Marrow Examination
Melena
Fluconazole
Rare Diseases
Coloring Agents
Therapeutics
Central Nervous System
Biopsy
Lung

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Song, J. C., Kim, S. K., Kim, E. S., Jung, I. S., Song, Y. G., Yu, J. S., & Park, H. (2008). A case of colonic cryptococcosis. The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi, 52(4), 255-260.
Song, Jae Chun ; Kim, Sang Kyum ; Kim, Eak Seong ; Jung, I. S. ; Song, Young Goo ; Yu, Jeong Sik ; Park, HyoJin. / A case of colonic cryptococcosis. In: The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi. 2008 ; Vol. 52, No. 4. pp. 255-260.
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Song, JC, Kim, SK, Kim, ES, Jung, IS, Song, YG, Yu, JS & Park, H 2008, 'A case of colonic cryptococcosis', The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi, vol. 52, no. 4, pp. 255-260.

A case of colonic cryptococcosis. / Song, Jae Chun; Kim, Sang Kyum; Kim, Eak Seong; Jung, I. S.; Song, Young Goo; Yu, Jeong Sik; Park, HyoJin.

In: The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi, Vol. 52, No. 4, 01.01.2008, p. 255-260.

Research output: Contribution to journalArticle

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Song JC, Kim SK, Kim ES, Jung IS, Song YG, Yu JS et al. A case of colonic cryptococcosis. The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi. 2008 Jan 1;52(4):255-260.