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Kasibante J, Kagimu E, Rutakingirwa MK, Jjunju S, Tugume L, Meya DB. Distal jejunal obstruction due to Cryptococcus neoformans and rifampicin-resistant Mycobacterium tuberculosis co-infection: A case report. Med Mycol Case Rep 2022; 38:44-47. [DOI: 10.1016/j.mmcr.2022.10.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2022] [Revised: 10/28/2022] [Accepted: 10/30/2022] [Indexed: 11/09/2022] Open
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A Comprehensive Review of Infectious Granulomatous Diseases of the Gastrointestinal Tract. Gastroenterol Res Pract 2021; 2021:8167149. [PMID: 33628227 PMCID: PMC7886506 DOI: 10.1155/2021/8167149] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/10/2020] [Revised: 01/01/2021] [Accepted: 01/28/2021] [Indexed: 12/21/2022] Open
Abstract
A granuloma is defined as a localized inflammatory reaction or a hypersensitive response to a nondegradable product leading to an organized collection of epithelioid histiocytes. Etiologies of granulomatous disorders can be divided into two broad categories: infectious and noninfectious (autoimmune conditions, toxins, etc.) causes. The endless list of causalities may prove challenging for gastroenterologists and pathologists to formulate a list of clearly defined differentials. This is true when distinguishing these etiologies based on various clinical presentations and endoscopic and histological findings. We aim to provide a comprehensive review of some of the frequent and rare infectious granulomatous diseases of the gastrointestinal tract documented in the literature to date. We provide an overview of each infectious pathology with an emphasis on epidemiology, clinical presentation, and endoscopic and histologic findings, in addition to treatment.
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Quincho-Lopez A, Montenegro-Idrogo J, Verona-Rubio RO. Colonic cryptococcosis as a rare presentation in HIV infection: a case report and review of the literature. Int J STD AIDS 2020; 31:1414-1419. [PMID: 33106111 DOI: 10.1177/0956462420951090] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Colonic cryptococcal infection is unusual in people living with HIV (PLWH) and even more so without concomitant neurological compromise. Published case reports describe diarrhea and other intestinal manifestations that are often confused with systemic tuberculosis infection. We describe an Peruvian woman living with HIV on antiretroviral therapy who presented hypotensive with a 6-month history of fever and epigastric pain, in addition to episodes of sporadic diarrhea. Due to the suspicion of systemic tuberculosis, antituberculosis treatment was started. Days later, without clinical improvement, colonoscopy revealed ulcers in the transverse colon. Histopathological examination of biopsied tissue was compatible with Cryptococcus spp. She received antifungal therapy with amphotericin B and fluconazole. Despite the treatment, the patient died six days later from multiple organ failure.
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Affiliation(s)
| | - Juan Montenegro-Idrogo
- Facultad de Ciencias de la Salud, Universidad Científica del Sur, Lima, Peru.,Infectious Diseases and Tropical Medicine Service, Hospital Nacional Dos de Mayo, Lima, Peru
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Gastrointestinal Cryptococcosis Associated with Intestinal Lymphangiectasia. Case Rep Med 2020; 2020:7870154. [PMID: 32373179 PMCID: PMC7191395 DOI: 10.1155/2020/7870154] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2019] [Revised: 01/19/2020] [Accepted: 03/07/2020] [Indexed: 12/28/2022] Open
Abstract
Intestinal lymphangiectasia is a pathological dilation of enteric lymphatic vessels resulting in lymph leakage to the intestinal lumen. This chronic lymph leakage leads to a state of immunosuppression secondary to the loss of humoral and cellular components of the immune system and represents a potential risk factor for opportunistic infections. We report a case of protein-losing enteropathy in a seemingly immunocompetent patient. An intestinal histopathological study revealed the unusual association of lymphangiectasia and intestinal cryptococcosis. Although cryptococcal infection is common in immunocompromised patients, intestinal involvement is rarely reported. We found no reports on the association of intestinal cryptococcosis in patients with lymphangiectasia. This case report is the first to describe intestinal cryptococcosis associated with intestinal lymphangiectasia.
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Eyer-Silva WDA, Oliveira TCD, Carvalho RDS, Carvalho-Rangel ID, Basílio-de-Oliveira RP, Araujo LFD, Silva GARD, Neves-Motta R. Gastric cryptococcosis: an unusual presentation of a common opportunistic disorder. Rev Inst Med Trop Sao Paulo 2019; 61:e10. [PMID: 30785564 PMCID: PMC6376925 DOI: 10.1590/s1678-9946201961010] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2018] [Accepted: 01/02/2019] [Indexed: 10/27/2022] Open
Affiliation(s)
- Walter de Araujo Eyer-Silva
- Universidade Federal do Estado do Rio de Janeiro, Centro de Ciências Biológicas e da Saúde, Hospital Universitário Gaffrée e Guinle, 10ª Enfermaria, Rio de Janeiro, Rio de Janeiro, Brazil
| | - Thaynny Cândida de Oliveira
- Universidade Federal do Estado do Rio de Janeiro, Centro de Ciências Biológicas e da Saúde, Hospital Universitário Gaffrée e Guinle, 10ª Enfermaria, Rio de Janeiro, Rio de Janeiro, Brazil
| | - Ricardo de Souza Carvalho
- Universidade Federal do Estado do Rio de Janeiro, Centro de Ciências Biológicas e da Saúde, Hospital Universitário Gaffrée e Guinle, 10ª Enfermaria, Rio de Janeiro, Rio de Janeiro, Brazil
| | - Isabelle de Carvalho-Rangel
- Universidade Federal do Estado do Rio de Janeiro, Centro de Ciências Biológicas e da Saúde, Hospital Universitário Gaffrée e Guinle, 10ª Enfermaria, Rio de Janeiro, Rio de Janeiro, Brazil
| | - Rodrigo Panno Basílio-de-Oliveira
- Universidade Federal do Estado do Rio de Janeiro, Centro de Ciências Biológicas e da Saúde, Hospital Universitário Gaffrée e Guinle, Serviço de Anatomia Patológica, Rio de Janeiro, Rio de Janeiro, Brazil
| | - Luciana Ferreira de Araujo
- Universidade Federal do Estado do Rio de Janeiro, Centro de Ciências Biológicas e da Saúde, Hospital Universitário Gaffrée e Guinle, Serviço de Anatomia Patológica, Rio de Janeiro, Rio de Janeiro, Brazil
| | - Guilherme Almeida Rosa da Silva
- Universidade Federal do Estado do Rio de Janeiro, Centro de Ciências Biológicas e da Saúde, Hospital Universitário Gaffrée e Guinle, 10ª Enfermaria, Rio de Janeiro, Rio de Janeiro, Brazil
| | - Rogério Neves-Motta
- Universidade Federal do Estado do Rio de Janeiro, Centro de Ciências Biológicas e da Saúde, Hospital Universitário Gaffrée e Guinle, 10ª Enfermaria, Rio de Janeiro, Rio de Janeiro, Brazil
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