Abstract
A case was 36 years-old female who had been healthy originally. She gave birth to a girl by natural childbirth on March 17, 2002, and non-productive cough began to appear from April 19, the same year. She went to a doctor to see him on April 23, and took prescription of cough medicine. Because a symptom did not retrograde, the medicine had a checkup again on May 1 and she was pointed out chest x-ray abnormality in her left lung. She was hospitalized in a certain hospital, and moved in our hospital for close inspection medical treatment on May 14, the same year.We started the dosage of antibiotic as pneumonia at first, but the shadow did not decrease. On May 16, we did bronchofiberscopic biopsy of the lung lesion, and cryptococcosis was doubted histopathologicaly. A serum cryptococcus antigen became positive, too, and it was surely diagnosed as pulmonary cryptococcosis. A treatment started with fluconazole , and a condition improved, and chest X-ray shadow decreased.
Summary: As for the chest X-rays views of primary pulmomnary cryptococcosis of a normal adult, a nodular shadow is basic, but infiltration is rarely seen. The reason why a infiltration appeared in this case was unknown, but I add consideration from literatures and report it.
