[A case of cryptococcal XXXX successfully treated by debridement by medical thoracoscopy with local anesthesia].

@entity1 @entity1143 @entity6 @entity39 @entity1353 @entity1330 @entity3509 @entity358 @entity375
@entity1330 is a rare disease which usually occurs in immunocompromised @entity1 . We describe a 57-year-old @entity1 with @entity6 with a mass-like shadow in the right middle lung field. Transbronchial lung biopsy of the right lung revealed numerous @entity375 -like fungi in @entity39 . These findings, together with positive serum cryptococcal antigen yielded a diagnosis of @entity358 secondary to @entity6 . Despite treatment with several anti-fungal drugs, and @entity1353 and @entity1143 developed. He was referred to our hospital for further examination and therapy. The presence of positive cryptococcal antigen and numerous @entity375 -like fungi were confirmed cytologically in the @entity1143 . Therefore, we suspected that @entity358 had perforated into the thoracic space and @entity3509 had developed. Because antifungal drugs were ineffective, debridement of the fibrinopurulent material by medical thoracoscopy and chest drainage were performed. The clinical symptoms of this @entity1 improved with antifungal treatment for 1 year, and we successfully treated the cryptococcal @entity3509 without recurrence. Debridement by medical thoracoscopy and chest drainage were useful for this case of cryptococcal @entity3509 .
