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  • Koh Lan Ying

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    siti zahurin jamil
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    A 38-year-old Chinese female presented with altered behavior, fever, and constitutional symptoms. A lumbar puncture found high opening pressure and cryptococcal antibody positive in CSF. Imaging found hydrocephalus on brain CT and multiple small lung nodules on chest CT. The patient was started on amphotericin B and flucytosine for diagnosed cryptococcal disease. The conference aims to discuss if the lung nodules could also be due to cryptococcosis.

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    A 38-year-old Chinese female presented with altered behavior, fever, and constitutional symptoms. A lumbar puncture found high opening pressure and cryptococcal antibody positive in CSF. Imaging found hydrocephalus on brain CT and multiple small lung nodules on chest CT. The patient was started on amphotericin B and flucytosine for diagnosed cryptococcal disease. The conference aims to discuss if the lung nodules could also be due to cryptococcosis.

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    © All Rights Reserved
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    9 views1 page

    Koh Lan Ying

    Uploaded by

    siti zahurin jamil
    A 38-year-old Chinese female presented with altered behavior, fever, and constitutional symptoms. A lumbar puncture found high opening pressure and cryptococcal antibody positive in CSF. Imaging found hydrocephalus on brain CT and multiple small lung nodules on chest CT. The patient was started on amphotericin B and flucytosine for diagnosed cryptococcal disease. The conference aims to discuss if the lung nodules could also be due to cryptococcosis.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    of 1

    Respiratory Radiology Conference

    HCTM PPUKM

    Koh Lan Ying


    Date: 20/1/20
    N788708

    Diagnosis: Cryptococcus Disease


    NKMI
    Comorbids:

    38 year old, Chinese, female


    Presented with altered behavious / fever / constitutional symptoms
    CECT Brain, CXR and CT Thorax as noted.
    Did LP  High opening pressure, CSF indian ink positive, CSF cryptococcal antibody positive
    History:
    Started on Amphotericin B and Flucytocin

    Bloods:

    CECT Brain / CXR / CECT Thorax


    CT scan/USG:

    1. CECT Brain – learning purpose : hydrocephalus


    What to discuss:
    2. CT Thorax : multiple nodules small, are they cryptoccus too?

    Plan

    Case Note Entry

    Patient Informed/Seen in Clinic


    ___________________________
    MO: Rathika Specialist : Dr. Andrea
    PHONE NUMBER: 0177598851

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