Case Report Open Access

Pulmonary Cryptococcosis Complicated by Pneumococcal Pneumonia Co-Infection with Influenza AVirus

Yoshihiro Kobashi1, Daisuke Yoshioka1, Shigeki Kato1 and Toru Oga1
  • 1 Kawasaki Medical School, Japan

Abstract

A 73-year-old man visited Kawasaki Medical School Hospital with complaints of cough and fever persisting for five days. He was diagnosed with myasthenia gravis in 2010 and had received immunosuppressive treatment for eight years. He presented with infiltration shadows in the bilateral middle and lower lung fields. Because both influenza A virus antigen and urinary pneumococcal pneumonia antigen were positive in laboratory findings, he was diagnosed with pneumococcal pneumonia co-infection with influenza a on admission. We administered peramivir and sulbactam/ampicillin after admission. Although the inflammatory response improved, infiltration shadows did not improve. We performed bronchoscopic examination and obtained the diagnosis of the complication of pulmonary cryptococcosis by transbronchial lung biopsy. He was treated with fluconazole for six months for pulmonary cryptococcosis and he showed improvement without adverse reactions. We report an interesting immunocompromised patient with pulmonary cryptococcosis complicated by pneumococcal pneumonia co-infection with influenza A.

American Journal of Infectious Diseases
Volume 17 No. 2, 2021, 55-60

DOI: https://doi.org/10.3844/ajidsp.2021.55.60

Submitted On: 24 January 2021 Published On: 22 April 2021

How to Cite: Kobashi, Y., Yoshioka, D., Kato, S. & Oga, T. (2021). Pulmonary Cryptococcosis Complicated by Pneumococcal Pneumonia Co-Infection with Influenza AVirus. American Journal of Infectious Diseases, 17(2), 55-60. https://doi.org/10.3844/ajidsp.2021.55.60

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Keywords

  • Pulmonary Cryptococcosis
  • Pneumococcal Pneumonia
  • Influenza A Virus
  • Co-Infection