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A Case of Cryptogenic Dyspnea: Disseminated Cryptococcosis

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Presentation on theme: "A Case of Cryptogenic Dyspnea: Disseminated Cryptococcosis"— Presentation transcript:

1 A Case of Cryptogenic Dyspnea: Disseminated Cryptococcosis
Brett W. Sperry, MD, Edward W. Howard, MBChB(Hons), PhD, Steven Gitterman, MD, Julio A. Panza, MD  The American Journal of Medicine  Volume 127, Issue 8, Pages (August 2014) DOI: /j.amjmed Copyright © 2014 Elsevier Inc. Terms and Conditions

2 Figure 1 Electrocardiography showed sinus tachycardia with nonspecific T wave inversions, an S wave in lead I, and a small Q wave in lead III. The American Journal of Medicine  , DOI: ( /j.amjmed ) Copyright © 2014 Elsevier Inc. Terms and Conditions

3 Figure 2 A chest radiograph revealed prominent pulmonary vasculature.
The American Journal of Medicine  , DOI: ( /j.amjmed ) Copyright © 2014 Elsevier Inc. Terms and Conditions

4 Figure 3 Transthoracic echocardiography in the parasternal short-axis view disclosed right ventricular dilatation and a flattened intraventricular “D-shaped” septum consistent with right ventricular pressure overload. The American Journal of Medicine  , DOI: ( /j.amjmed ) Copyright © 2014 Elsevier Inc. Terms and Conditions

5 Figure 4 A hematoxylin and eosin stain of the lung parenchyma showed cryptococcal infection with intra-alveolar involvement (arrowhead) and capillary occlusions (arrow). The American Journal of Medicine  , DOI: ( /j.amjmed ) Copyright © 2014 Elsevier Inc. Terms and Conditions

6 Figure 5 Cryptococcal organisms in myocardial capillaries (arrow) as well as an intramyocardial cryptococcoma (arrowhead) were visible in another hematoxylin and eosin stain. The American Journal of Medicine  , DOI: ( /j.amjmed ) Copyright © 2014 Elsevier Inc. Terms and Conditions


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