PMC5088553_01
Chest radiography and computed tomography (CT) on relapse. Chest CT shows a small nodule in the right upper lobe of the lung and a 3x2 cm mass-like region is observed on an air bronchogram.
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Chest radiography and computed tomography (CT) revealed a 3x2 cm mass-like region and a small nodule in the left and right upper lobes of the lung (Fig. 1).
Pictures of bronchoalveolar lavage fluid cytology (400x). Round bodies suspicious of Cryptococcus spp. phagocytized by macrophages can be seen on periodic acid-Schiff-stained sections.
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BALF were also negative. BALF cytology revealed periodic acid-Schiff stain-positive bodies, phagocytized by macrophages, which was indicative of Cryptococcus spp. (Fig. 2).
Clinical course after relapse. IFX: infliximab, FLCZ: fluconazole, ITCZ: itraconazole, 5-FC: flucytosine. Arrows show IFX administrations.
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After the initiation of this treatment, the region of the left upper lobe gradually decreased in size, and finally diminished in size on chest CT performed 10 months after the relapse (Fig. 3).