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African health sciences · Sep 2021
Case ReportsIt is not always Tuberculosis! A case of pulmonary cryptococcosis in an immunocompetent child in Uganda.
- Irene Nakatudde, Phillip Kasirye, Sarah Kiguli, and Philippa Musoke.
- Department of Paediatrics and Child Health, College of Health Sciences, Makerere University.
- Afr Health Sci. 2021 Sep 1; 21 (3): 990-994.
AbstractPulmonary cryptococcosis is rare in immunocompetent individuals. Limited data exist regarding its occurrence in children, especially in developing countries. This case report describes an 8-year-old HIV-negative child with pulmonary cryptococcosis, previously diagnosed and treated for tuberculosis twice without improvement. Fine needle aspiration biopsy confirmed the diagnosis of pulmonary cryptococcosis and serum cryptococcal antigen test was positive. The child improved on amphotericin and fluconazole treatment. Despite the limited diagnostic capacity in many resource-constrained settings like Uganda, this case report highlights the need to investigate other causes of pneumonia in immunocompetent children that are not improving on conventional antimicrobial treatments.© 2021 Nakatudde I et al.
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