Abstract
Cryptococcal infection of intraabdominal organs or tissues is extremely rare. Herein we report a child with mesenteric cryptococcal lymphadenitis who presented with an acute abdomen misdiagnosed as acute appendicitis. Definitive diagnosis was established with 2nd look and lymph node biopsy. Clinicians should remember that cryptococcal infection of mesenteric lymph nodes may rarely mimic an acute abdomen and cause delay in diagnosis.
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References
O’Shea PA (1992) Congenital and acquired systemic infectious diseases. In: Stocker JT, Dehner LP (eds) Pediatric pathology. Lippincott, Philadelphia, pp 201–238
Aronoff SC (2000) Cryptococcus neoformans. In: Behrman RE, Kliegman RM, Jenson HB (eds) Nelson textbook of pediatrics. WB Saunders, Philadelphia, pp 935–936
Diamond RD (1995) Cryptococcus neoformans. In: Mandell GL, Douglas RG, Bennett JE (eds) Principle and practice of infectious diseases. Churchill Livingstone, New York, pp 1980–1989
Smith JW, Arnold WC (1998) Cryptococcal peritonitis in patients on peritoneal dialysis. Am J Kidney Dis 11:430–433
Crum CP, Feldman PS (1981) Cryptococcal peritonitis complicating a ventriculoperitoneal shunt in unsuspected cryptococcal meningitis. Hum Pathol 12:660–663
Mabee CL, Mabee SW, Kirckpatrick RB, Koletar SL (1995) Cirrhosis: a risk factor for cryptococcal peritonitis. Am J Gastroenterol 90:2042–2045
Yinnon AM, Solages A, Treanor JJ (1993) Cryptococcal peritonitis: report of a case developing during continuous ambulatory peritoneal dialysis and review of the literature. Clin Infect Dis 17:736–741
Mansoor GA, Ornt DB (1994) Cryptococcal peritonitis in peritoneal dialysis patients: a case report. Clin Nephrol 41:230–232
Lee MY, Chung JH, Shin JH, Hwang TJ, Kim KS, Lee JH, Nam JH, Lee MC, Park CS, Jhung SW, Choi C (2001) Lymphonodular cryptococcosis diagnosed by fine needle aspiration cytology in hyper-IgM syndrome. A case report. Acta Cytol 45:241–244
Stiefel P, Pamies E, Miranda ML, Martin-Sanz MV, Fernandez-Moyano A, Villar J (1999) Cryptococcal peritonitis: report of a case and review of the literature. Hepatogastroenterology 46:1618–1622
Scalfano FP Jr, Prichard JG, Lamki N, Athey PA, Graves RC (1988) Abdominal cryptococcoma in AIDS: a case report. J Comput Tomogr 12:237–239
Malik R, Hunt GB, Bellenger CR, Allan GS, Martin P, Canfield PJ, Love DN (1999) Intra-abdominal cryptococcosis in two dogs. J Small Anim Pract 40:387–391
Chang PY, Panabokke RG, Chew KH (1986) Omental cryptococcoma. An unusual presentation of cryptococcosis. Arch Pathol Lab Med 110:239–241
Liu YC, Cheng DL, Liu CY, Yen MY, Wang RS (1991) Isolated cryptococcosis of the adrenal gland. J Intern Med 230:285–287
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This paper is supported by Akdeniz University Scientific Projects Management Unit.
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Karagüzel, G., Kılıçarslan-Akkaya, B., Melikoğlu, M. et al. Cryptococcal mesenteric lymphadenitis: an unusual cause of acute abdomen. Ped Surgery Int 20, 633–635 (2004). https://doi.org/10.1007/s00383-004-1246-z
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DOI: https://doi.org/10.1007/s00383-004-1246-z