Tropical Medicine & Surgery

Shekhar Pal

Publications

• Case Report
  An Unusual Presentation of Disseminated Cryptococcosis in a Middle Aged Female
  Author(s): Dipankar Pal, Avijit Das, Shekhar Pal, Soumyadip Chatterji, Manab Kumar Ghosh, Arindam Naskar, Sudeshna Mallik and Abhiram ChakrabartyDipankar Pal, Avijit Das, Shekhar Pal, Soumyadip Chatterji, Manab Kumar Ghosh, Arindam Naskar, Sudeshna Mallik and Abhiram Chakrabarty
  
  Cryptococcosis is a common opportunistic pathogen in the setting of advanced human immunodeficiency virus (HIV) infection especially with CD4 count less than 50 cells/micro liter and in other immunodeficient conditions such as hematologic malignancies, transplant recipients or in persons on prolonged glucocorticoid and/or immunosuppressant therapy. Disseminated cryptococcosis is uncommon in immunocompetent person. We detected such a case at our institute presented initially with pulmonary mass lesion and later evolving into chronic non-healing skin ulcer and asymptomatic brain involvement without having any evidence of overt immunosuppression. However the patient developed gall-bladder carcinoma about one and half years after her chest complaints. She underwent surgical resection but neither received radiotherapy nor chemotherapy post-surgery. She was treated successfully with anti-fu.. View More»
  

  Abstract PDF