Cryptococcus Pneumonia Complicating Churg-Strauss Syndrome

Mayar Al Mohajer, Richard J. Hamill, Rabih O. Darouiche


Crytpococcus neoformans usually infects individuals who are HIV-infected or immunosuppressed for other reasons and clinically presents as meningoencephalitis, pneumonia or disseminated disease. We describe a 57-year-old man with history of asthma, allergic rhinosinusitis, nasal polyps and chronic receipt of low dose steroids who presented to the emergency department with fever, dry cough, respiratory distress and hematuria. His laboratory studies showed leukocytosis and eosinophilia with a negative HIV antibody test. CT scan of the chest showed right lower lobe patchy opacities. The patient deteriorated during hospitalization, developed hemoptysis and hypoxia, and was electively intubated. Repeat CT scan of the chest showed diffuse alveolar and interstitial opacities with mediastinal lymphadenopathy. The cytoplasmic anti-neutrophil cytoplasmic antibody (C-ANCA) was markedly elevated and the patient was diagnosed with Churg-Strauss Syndrome (CSS). Culture of bronchoalveolar lavage fluid yielded growth of Cryptococcus neoformans. The patient responded well to treatment with cyclophosphamide, corticosteroids, plasmapharesis and fluconazole. This case highlights the possibility that Cryptococcus neoformans can either infect or colonize patients who are immunosuppressed, including those with CSS.

J Med Cases. 2013;4(2):80-82



Cryptococcus neoformans; Churg-Strauss Syndrome; Vasculitis

Full Text: HTML PDF

Browse  Journals  


Journal of Clinical Medicine Research

Journal of Endocrinology and Metabolism

Journal of Clinical Gynecology and Obstetrics


World Journal of Oncology

Gastroenterology Research

Journal of Hematology


Journal of Medical Cases

Journal of Current Surgery

Clinical Infection and Immunity


Cardiology Research

World Journal of Nephrology and Urology

Cellular and Molecular Medicine Research


Journal of Neurology Research

International Journal of Clinical Pediatrics



Journal of Medical Cases, monthly, ISSN 1923-4155 (print), 1923-4163 (online), published by Elmer Press Inc.                     
The content of this site is intended for health care professionals.
This is an open-access journal distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License, which permits unrestricted
non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Creative Commons Attribution license (Attribution-NonCommercial 4.0 International CC-BY-NC 4.0)

This journal follows the International Committee of Medical Journal Editors (ICMJE) recommendations for manuscripts submitted to biomedical journals,
the Committee on Publication Ethics (COPE) guidelines, and the Principles of Transparency and Best Practice in Scholarly Publishing.

website:   editorial contact:
Address: 9225 Leslie Street, Suite 201, Richmond Hill, Ontario, L4B 3H6, Canada

© Elmer Press Inc. All Rights Reserved.

Disclaimer: The views and opinions expressed in the published articles are those of the authors and do not necessarily reflect the views or opinions of the editors and Elmer Press Inc. This website is provided for medical research and informational purposes only and does not constitute any medical advice or professional services. The information provided in this journal should not be used for diagnosis and treatment, those seeking medical advice should always consult with a licensed physician.