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Cryptococcus

Cryptococcosis:
Infections of the CNS and pulmonary system caused by Cryptococcus neoformans and Cryptococcus gattii.
  • These fungi are found in bird droppings, and, by association, soil and trees.
  • They are encapsulated, spherical yeast
– Outer "halo" is the polysaccharide capsule – Inner yeast cell has melanin in its cell wall. Cryptococcus* is inhaled into the respiratory system, followed by dissemination to and localization within the CNS. Cryptococcus neoformans is a major opportunistic pathogen in AIDS patients.*
  • Cryptococcosis typically manifests as CNS infections:
Meningitis and encephalitis – In the image, we can see the characteristic "soap bubble" lesions of Cryptococcal encephalitis. Cryptococcus neoformans* CNS infection is associated with immunosuppressed patients
  • Cryptococcus gattii tend to produce infection in relatively immunocompetent individuals
– These patients tend to have more granuloma formation – Some authors suggest that so-called immunocompetent patients actually have complicating illnesses or histories of immunosuppression).
  • Cryptococcosis can also manifest as pulmonary infection, sometimes following CNS involvement.
– In the lungs, severity ranges from asymptomatic to pneumonia with pulmonary infiltrates. – Cryptococcus gattii tends to produce larger pulmonary lesions than Cryptococcus neoformans.

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