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Hepatic Failure as a Manifestation of Cryptococcosis

Arch Intern Med. 1963;111(5):661-669. doi:10.1001/archinte.1963.03620290127018.
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Cryptococcosis, a systemic fungus infection caused by Cryptococcus neoformans, most commonly involves the central nervous system,1 lungs,2 skin,3 and bones.4 Almost every tissue can be affected when the fungus is disseminated; however, only occasionally are such infections clinically significant. In rare instances, involvement of adrenal glands,5,6 cardiovascular system, gastrointestinal tract, or genitourinary system may lead to organ dysfunction or failure.1

Histologic evidence of hepatic involvement in disseminated cryptococcosis has been previously reported7-10; however, in these instances there was no evidence that intrahepatic fungal proliferation had interfered with liver function.

The present paper is a report of two patients in whom hepatic failure was most likely caused by intrahepatic cryptococcosis. One patient, with Hodgkin's disease and disseminated cryptococcosis, developed hepatic failure as the terminal event in her illness. Microscopic examination disclosed hepatic necrosis associated with cryptococcosis without evidence of other liver disease. The second


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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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