SAGE Open Medical Case Reports (Oct 2021)

Cryptococcosis as a complication of therapy for sarcoidosis: A case report

  • Jiejun Shi,
  • Lei Zhou,
  • Ada Hoi Yan Ma,
  • Naibin Yang,
  • Lei Chen,
  • Guoqing Qian

DOI
https://doi.org/10.1177/2050313X211054268
Journal volume & issue
Vol. 9

Abstract

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Cryptococcosis is a rare complication of sarcoidosis, especially when it grows in lungs. It may escape from being diagnosed because of low prevalence and non-specific radiological presentation. Hereby, we reported an unusual case of pulmonary cryptococcosis secondary to the long-term use of glucocorticoids to treat sarcoidosis which can be misdiagnosed as progression of sarcoidosis due to the similar radiological presentation. After targeted therapy with fluconazole for 5 months, her chest computed tomography rescan revealed resolution of the pulmonary lesions.