Document 0186
 DOCN  M95B0186
 TI    Cryptococcal empyema: case report and review.
 DT    9511
 AU    Mulanovich VE; Dismukes WE; Markowitz N; Division of Infectious
       Diseases, University of Alabama at; Birmingham, USA.
 SO    Clin Infect Dis. 1995 May;20(5):1396-8. Unique Identifier : AIDSLINE
       MED/95345319
 AB    A 28-year-old male infected with the human immunodeficiency virus (HIV)
       developed a pleural empyema caused by Cryptococcus neoformans. He
       responded well to chest-tube drainage and antifungal therapy; he
       received fluconazole as maintenance therapy for 1 year and has not
       relapsed. We reviewed the English-language literature on cryptococcal
       pleural effusions in patients with and without AIDS. Only three other
       cases of empyema, one of them in an HIV-infected patient, have been
       reported. A pleural-fluid cryptococcal antigen test was diagnostic in
       our case and should be included in the diagnostic evaluation of
       unexplained pleural empyema/effusion in immunocompromised patients.
 DE    Adult  AIDS-Related Opportunistic Infections/*DIAGNOSIS  Case Report
       Cryptococcosis/*DIAGNOSIS  Empyema, Pleural/*DIAGNOSIS  Human  Male
       JOURNAL ARTICLE

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