Cryptococcus neoformans infection in a post-operative mastoid cavity of an immunocompetent individual: a rare case report

Authors

  • Rahul S. Gosavi Department of ENT, Sanjeevan Medical Foundation ENT PG Training Institute, Miraj, Maharashtra, India
  • Akash D. Gupta Department of ENT, Sanjeevan Medical Foundation ENT PG Training Institute, Miraj, Maharashtra, India
  • Shishir D. Gosavi Department of ENT, Sanjeevan Medical Foundation ENT PG Training Institute, Miraj, Maharashtra, India
  • Jayanti U. Phatak Department of Microbiology, Shri Siddhivinayak Ganapati Cancer Hospital, Miraj, Maharashtra, India

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20202804

Keywords:

Cryptococcosis, Cryptococcal mastoiditis, Fluconazole, Immunocompetent host, Fungal mastoiditis

Abstract

This is a case report of isolated cryptococcosis in the operated mastoid cavity of an immunocompetent individual. A 24 year old immunocompetent male who underwent modified radical mastoidectomy presented to the OPD with complaints of otalgia and recurrent otorrhoea, not responding to regular medical line of treatment and aural toileting. Microscopy and culture of the ear dischrage revealed Cryptococcus neoformans. The patient was treated with oral and topical fluconazole and recovered completely. Although rare, cryptococcal mastoiditis should be considered even in an immunocompetent patient, as any delay in diagnosis and treatment can lead to fatal complications.

Author Biographies

Rahul S. Gosavi, Department of ENT, Sanjeevan Medical Foundation ENT PG Training Institute, Miraj, Maharashtra, India

Department of ENT, Assistant Professor

Akash D. Gupta, Department of ENT, Sanjeevan Medical Foundation ENT PG Training Institute, Miraj, Maharashtra, India

Department of ENT, Junior Resident

Shishir D. Gosavi, Department of ENT, Sanjeevan Medical Foundation ENT PG Training Institute, Miraj, Maharashtra, India

Department of ENT, Professor and Head of department

Jayanti U. Phatak, Department of Microbiology, Shri Siddhivinayak Ganapati Cancer Hospital, Miraj, Maharashtra, India

Department of Microbiology, Consultant

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Published

2020-06-25

Issue

Section

Case Reports