A Case of Disseminated Cryptococcal Infection and Concurrent Lung Tuberculosis in a Patient under Steroid Therapy for Interstitial Pneumonia
Table 2
Major test results of CSF, blood, and sputum.
(a)
Day 1
Day 30
Day 49
Day 70
CSF
Pressure (cmH2O)
13
5
6
10
Cell numbers/L (total)
7
12
9
3
(mono)
5
12
9
3
(poly)
2
0
0
0
Cryptococcal antigen
N/A
N/A
256
India ink stain
N/A
Positive
N/A
N/A
Cryptococcal culture
N/A
Positive
N/A
N/A
(b)
Day 23
Day 30
Day 38
Day 72
Day 78
Day 91
Blood
QFT
Negative
Undeterminable
Cryptococcal antigen
512
CMV antigenemia
Negative
Negative
Negative
Sputum
Acid-fast staining
Negative
Negative
Negative
Positive (1+)
Negative
TB culture
Negative
Positive
Positive
Positive
Negative
TB PCR
Negative
Negative
Positive
Negative
Cryptococcal antigen
Positive
Bold parts: the results became positive while the patient was alive. Positive: the test results turned out to be positive after the patient died. Positive: the test result turned out to be positive on day 78. QFT: QuantiFERON TB-2G test; NA: not available.
