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Cover page of the Journal of Health Sciences
Year : 2014  |  Volume : 7  |  Issue : 1  |  Page : 61-64

Cryptococcal cyst of the acromioclavicular joint: A rare presentation

1 Department of Pathology, KLE University's J.N. Medical College, Belgaum, Karnataka, India
2 Department of Orthopedics, KLE University's J.N. Medical College, Belgaum, Karnataka, India
3 Department of Medicine, KLE University's J.N. Medical College, Belgaum, Karnataka, India
4 Department of Microbiology, KLE University's J.N. Medical College, Belgaum, Karnataka, India

Correspondence Address:
Ganga S Pilli
Department of Pathology, KLE University's J.N. Medical College, Belgaum - 590 010, Karnataka
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2349-5006.135084

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Cryptococcus neoformans is yeast and it commonly affects immuno-compromised patients, including AIDS. Most infections with C. neoformans consist of a lung lesions. However, meningitis or meningoencephalitis and localized infections can occur as part of systemic infection. Case: A 32-year-old patient, presented with a swelling over the right shoulder with pain and restriction of movements. The pain has increased in the past 10 days. Patient has a history of hypertension. He developed end stage renal disease and was put on dialysis. He was advised to undergo renal transplant. Renal transplant was done a year back. O/E patient was moderately built, but poorly nourished and pallor was present. On local examination, swelling was seen over the anterior aspect of right shoulder and right acromio-clavicular region with diffuse margins and tenderness. On fine-needle aspiration cytology (FNAC), the smears revealed yeasts of Cryptococci, which were confirmed with special stains and culture. With the diagnosis of cryptococcal cyst, patient underwent surgical excision and was put on anti-fungal therapy and is relieved of his symptoms. The present case is a rare presentation of Cryptococci in an immune-compromised patient of renal transplant occurring in an unusual site. In conclusion, a rare case of cryptococcal cyst of acromio-clavicular joint could be diagnosed by FNAC.

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