Abstract
The patient was a 93-year-old female receiving oral steroids for polymyalgia rheumatica and undergoing treatment for diabetes mellitus. She was admitted to our hospital for fever, cough, and disturbance in her level of consciousness. Chest computed tomography revealed a giant mass of 10 cm in length in the right upper lobe and multiple nodular shadows in the bilateral lung fields. Based on bronchoscopy-guided transbronchial lung biopsy of the mass in the right upper, pulmonary cryptococcosis was diagnosed. As the patient had concomitant meningitis, treatment with voriconazole was initiated, and her symptoms gradually improved. Long-term treatment was possible with no significant adverse events.
