A case of systemic cryptococcosis in an immunocompromised host : A chance diagnosis by FNAC

Authors : Soumya B M, Soumya B M, Nisarga Rani R, Nisarga Rani R, Rajalakshmi D, Rajalakshmi D, S S Hiremath, S S Hiremath

DOI : 10.18231/j.achr.2019.065

Volume : 4

Issue : 4

Year : 2019

Page No : 342-344

Cryptococcus neoformans is the most common life threatening fungal pathogen that infects patients with
Acquired Immuno Deficiency Syndrome (AIDS). We present a case of 14 year old female came with
complaints of bilateral non tender lymphadenopathy and mass per abdomen. On FNAC from lymphnode
and spleen showed varying sized of cryptococcal organism which was further confirmed with Indian ink
preparation. Following Human Immunodeficiency Virus test showed positivity. In immunocompromised
individuals Cryptococcosis is the prevailing cause of death among opportunistic fungal disease. Greater
number of studies showed the cryptococcosis in lung, meninges and skin whereas lymph node and spleen
involvement is considered to be rare. We report a case of systemic cryptococcosis presenting as cervical
lymphadenopathy and splenomegaly, diagnosed on fine needle aspiration cytology.

Keywords: FNAC, Spleen, Lymph node, Cryptococcosis, Immunocompromised.


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