Prostatic Cryptococcosis: a case report

Detalhes bibliográficos
Autor(a) principal: Chang, M. R.
Data de Publicação: 2008
Outros Autores: Paniago, A. M. M. M., Lazéra, M. S., Wanke, B.
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/57022
Resumo: Universidade Federal de Mato Grosso do Sul. Department of Pharmacy-Biochemistry. Campo Grande, MS, Brazil.
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spelling Chang, M. R.Paniago, A. M. M. M.Lazéra, M. S.Wanke, B.2023-02-11T15:54:25Z2023-02-11T15:54:25Z2008CHANG, M. R. et al. Prostatic Cryptococcosis: a case report. Journal of Venomous Animals and Toxins including Tropical Diseases, v. 14, n. 2, p. 378-385, 2008.1678-9199https://www.arca.fiocruz.br/handle/icict/5702210.1590/S1678-91992008000200015engCentro de Estudos de Venenos e Animais Peçonhentos (CEVAP/UNESP)Prostatic Cryptococcosis: a case reportinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleUniversidade Federal de Mato Grosso do Sul. Department of Pharmacy-Biochemistry. Campo Grande, MS, Brazil.Universidade Federal de Mato Grosso do Sul. Department of Internal Medicine. Campo Grande, MS, Brasil.University for Development of the State and the Pantanal Region. Medicine Program. Campo Grande, MS, Brazil.Oswaldo Cruz Foundation. Evandro Chagas Institute of Clinical Research. Mycology Service. Rio de Janeiro, RJ, Brazil.Oswaldo Cruz Foundation. Evandro Chagas Institute of Clinical Research. Mycology Service. Rio de Janeiro, RJ, Brazil.Cryptococcosis is a systemic mycosis usually affecting immunodeficient individuals. In contrast, immunologically competent patients are rarely affected. Dissemination of cryptococcosis usually involves the central nervous system, manifesting as meningitis or meningoencephalitis. Prostatic lesions are not commonly found. A case of prostate cryptococcal infection is presented and cases of prostatic cryptococcosis in normal and immunocompromised hosts are reviewed. A fifty-year-old HIV-negative man with urinary retention and renal insufficiency underwent prostatectomy due to massive enlargement of the organ. Prostate histopathologic examination revealed encapsulated yeast-like structures. After 30 days, the patient’s clinical manifestations worsened, with headache, neck stiffness, bradypsychia, vomiting and fever. Direct microscopy of the patient’s urine with China ink preparations showed capsulated yeasts, and positive culture yielded Cryptococcus neoformans. This fungus was later isolated from cerebrospinal fluid and blood cultures, demonstrating thus its dissemination. The patient was discharged after 27 days in hospital and, despite a regimen of amphotericin B, he died four months later. This case points to cryptococcosis as a possible cause of prostatic disease and reinforces the importance of communication between the medical team and pathology and microbiology laboratories aiming at a more accurate diagnosis and successful treatment.CryptococcosisCryptococcusImmunocompetent patientCryptococcal prostatitisinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZORIGINALChang_M._etal_INI_2008.pdfChang_M._etal_INI_2008.pdfapplication/pdf128478https://www.arca.fiocruz.br/bitstream/icict/57022/2/Chang_M._etal_INI_2008.pdf16d5790f1ee585a8111b07ab76c77e82MD52LICENSElicense.txttext/plain1748https://www.arca.fiocruz.br/bitstream/icict/57022/1/license.txt8a4605be74aa9ea9d79846c1fba20a33MD51icict/570222023-02-11 12:54:26.697oai:www.arca.fiocruz.br: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Repositório InstitucionalPUBhttps://www.arca.fiocruz.br/oai/requestrepositorio.arca@fiocruz.bropendoar:21352023-02-11T15:54:26Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)false
dc.title.en_US.fl_str_mv Prostatic Cryptococcosis: a case report
title Prostatic Cryptococcosis: a case report
spellingShingle Prostatic Cryptococcosis: a case report
Chang, M. R.
Cryptococcosis
Cryptococcus
Immunocompetent patient
Cryptococcal prostatitis
title_short Prostatic Cryptococcosis: a case report
title_full Prostatic Cryptococcosis: a case report
title_fullStr Prostatic Cryptococcosis: a case report
title_full_unstemmed Prostatic Cryptococcosis: a case report
title_sort Prostatic Cryptococcosis: a case report
author Chang, M. R.
author_facet Chang, M. R.
Paniago, A. M. M. M.
Lazéra, M. S.
Wanke, B.
author_role author
author2 Paniago, A. M. M. M.
Lazéra, M. S.
Wanke, B.
author2_role author
author
author
dc.contributor.author.fl_str_mv Chang, M. R.
Paniago, A. M. M. M.
Lazéra, M. S.
Wanke, B.
dc.subject.en.en_US.fl_str_mv Cryptococcosis
Cryptococcus
Immunocompetent patient
Cryptococcal prostatitis
topic Cryptococcosis
Cryptococcus
Immunocompetent patient
Cryptococcal prostatitis
description Universidade Federal de Mato Grosso do Sul. Department of Pharmacy-Biochemistry. Campo Grande, MS, Brazil.
publishDate 2008
dc.date.issued.fl_str_mv 2008
dc.date.accessioned.fl_str_mv 2023-02-11T15:54:25Z
dc.date.available.fl_str_mv 2023-02-11T15:54:25Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.citation.fl_str_mv CHANG, M. R. et al. Prostatic Cryptococcosis: a case report. Journal of Venomous Animals and Toxins including Tropical Diseases, v. 14, n. 2, p. 378-385, 2008.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/57022
dc.identifier.issn.en_US.fl_str_mv 1678-9199
dc.identifier.doi.none.fl_str_mv 10.1590/S1678-91992008000200015
identifier_str_mv CHANG, M. R. et al. Prostatic Cryptococcosis: a case report. Journal of Venomous Animals and Toxins including Tropical Diseases, v. 14, n. 2, p. 378-385, 2008.
1678-9199
10.1590/S1678-91992008000200015
url https://www.arca.fiocruz.br/handle/icict/57022
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Centro de Estudos de Venenos e Animais Peçonhentos (CEVAP/UNESP)
publisher.none.fl_str_mv Centro de Estudos de Venenos e Animais Peçonhentos (CEVAP/UNESP)
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Repositório Institucional da FIOCRUZ (ARCA)
collection Repositório Institucional da FIOCRUZ (ARCA)
bitstream.url.fl_str_mv https://www.arca.fiocruz.br/bitstream/icict/57022/2/Chang_M._etal_INI_2008.pdf
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