An unusual manifestation of pulmonary cryptococcosis

Abstract

Pulmonary cryptococcosis may present in many forms. In a case recently treated in this hospital, there was total consolidation of an upper lobe with complete occlusion of the upper lobe bronchus, a pattern which has not previously been reported in this disease. The differential diagnosis of lobar consolidation ordinarily includes primary bronchogenic carcinoma, bacterial pneumonia and tuberculosis. Among the fungal diseases, coccidiomycosis, actinomycosis, blastomycosis and nocardiosis may occasionally present with lobar consolidation (Wolfe and Jacobson, 1958).