Isolated Biliary Cryptococcosis Manifesting as Obstructive Jaundice in an Immunocompetent Adult

被引：12

作者：

Cai, Xiujun ^{[1
]}

Liu, Kun ^{[1
]}

Liang, Yuelong ^{[1
]}

Yu, Hong ^{[1
]}

Lv, Fangfang ^{[2
]}

Liang, Xiao ^{[1
]}

机构：

[1] Zhejiang Univ, Dept Gen Surg, Sir Run Run Shaw Hosp, Sch Med, Hangzhou 310016, Zhejiang, Peoples R China

[2] Zhejiang Univ, Dept Infect Dis, Sir Run Run Shaw Hosp, Sch Med, Hangzhou 310016, Zhejiang, Peoples R China

来源：

INTERNATIONAL JOURNAL OF MEDICAL SCIENCES | 2012年 / 9卷 / 03期

关键词：

Biliary cryptococcosis; Obstructive jaundice; Cholangiocarcinoma; Cryptococcus neoformans; Itraconazole; CHOLANGITIS;

D O I：

10.7150/ijms.3810

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Cryptococcosis is a symptomatic fungal infection caused by Cryptococcus, which frequently occurs in patients who are immunologically compromised or chronically ill. Localized involvement of the hepatobiliary system in an immunocompetent adult is extremely rare. We report a unique case of isolated biliary cryptococcosis manifesting as obstructive jaundice and mimicking hilar cholangiocarcinoma in an immunocompetent woman. By integrating surgical and antifungal drug therapy, the disease was effectively controlled. Despite an increasing incidence of biliary malignancies, hepatobiliary surgeons and gastroenterologists must maintain a high index of suspicion for other rare possibilities of non-specific biliary inflammation.

引用

页码：200 / 206

页数：7

共 18 条

[1] CHOLANGITIS ASSOCIATED WITH CRYPTOCOCCUS-NEOFORMANS [J].