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Characterization of Clinical and CT Manifestations of Pulmonary Cryptococcosis with Consolidation
Dengfa Yang
1 
, Lianhua Yu
2, Jianhua Luo
3, Jianmin Shen
1*, Dongguo Wang
4* , Pingding Kuang
5, Gangzhe Fu
61 Department of Radiology, Taizhou Municipal Hospital, Taizhou, Zhejiang, China
2 Department of Laboratory Medicine, Taizhou Municipal Hospital, Taizhou, Zhejiang, China
3 Department of Respiratory Medicine, Taizhou Municipal Hospital, Taizhou, Zhejiang, China
4 Department of Central Laboratory, Taizhou Municipal Hospital, Taizhou, Zhejiang, China
5 Department of Radiology, the Second Affiliated Hospital, Medical School of Zhejiang University, Hangzhou, Zhejiang, China
6 Department of Radiology, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China
*Corresponding Authors: Jianmin Shen, BSc; Department of Radiology, Taizhou Municipal Hospital, No. 381-1 Eastern Road of Zhongshan, Taizhou, Zhejiang 318000, P.R. China. Tel: +86-13905768989; Email: , Email:
sjm_60@126.com; *Corresponding Author: Dongguo Wang, BSc; Department of Central Laboratory, Taizhou Municipal Hospital, No. 381-1 Eastern Road of Zhongshan, Taizhou, Zhejiang 318000, P. R. China. Tel: +86-13566871738; Email: , Email:
wdgtzs@163.com
Abstract
Considering the insufficient understanding of pulmonary cryptococcosis (PC) with consolidation, 22 patients were evaluated based on the chest computed tomography (CT) images and clinical manifestation. The clinical symptoms were mild, mainly manifesting as cough and sputum. Pulmonary lesions mostly involved a single lobe in a single lung with multiple lesions. Specifically, single lung involvement was observed in 17 cases, single lobe in 16 cases and multiple lesions in 14 case. Fifteen cases were mainly distributed in the periphery and 17 cases in the long axis in parallel to the pleura. Nineteen cases had air bronchograms. Eight cases displayed cavitation inside the lesions and 18 cases had surrounding halo signs. Seventeen cases had pleural thickening, of which 10 cases had “pasting wall” signs. The clinical symptoms of PC with consolidation were relatively mild. Comprehensive clinical and imaging performance could improve the diagnosis of the disease.
Cite this article as: Yang D, Yu L, Luo J, Shen J, Wang D, Kuang P, et al. Characterization of clinical and ct manifestations of pulmonary cryptococcosis with consolidation. Arch Iran Med. 2021;24(6):508–511. doi: 10.34172/aim.2021.73