Evidence map›Paper›PMID 40671748›Full record

ArticleWorld journal of clinical cases2025

Invasive pulmonary cryptococcosis mimicking metastatic lung cancer: A case report and review of literature.

Cheng-Yan Gao, Xue-Jiao Yang, E Guo, Yu-Lan Zheng

Abstract readCase Reports
In one paragraph

Article in World journal of clinical cases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Cheng-Yan GaoSchool of Medicine, Wuhan University of Science and Technology, Wuhan 430081, Hubei Province, China.
Xue-Jiao YangDepartment of Respiratory and Critical Care Medicine, Xiangyang Central Hospital, Affiliated Hospital of Hubei University of Arts and Science, Xiangyang 441000, Hubei Province, China.
E GuoDepartment of Respiratory and Critical Care Medicine, Xiangyang Central Hospital, Xiangyang 441000, Hubei Province, China.
Yu-Lan ZhengDepartment of Respiratory and Critical Care Medicine, Xiangyang Central Hospital, Affiliated Hospital of Hubei University of Arts and Science, Xiangyang 441000, Hubei Province, China. 2591797969@qq.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWorldwide, there has been a steady increase in the number of cases of pulmonary cryptococcosis diagnosed in immunocompetent patients, where symptoms can range from mild to severe. Clinical and radiological distinction of disease may be made when compared with immunodeficient cases and in those presenting with primary lung carcinoma. In the latter case confusion can lead to initial misdiagnosis and delayed treatment. We report a case of disseminated cryptococcosis in an immunocompetent patient which mimicked a primary lung carcinoma with brain metastases. CASE SUMMARY: A 51-year-old male farmer with a 30-year smoking history presented with a two-week history of productive cough, streaky hemoptysis, and low-grade fever. He had no history of immunosuppression, tuberculosis, or specific risk factors. Chest computed tomography revealed a posterior basal left lower lobe mass, but tumor markers and transbronchial tests were negative. Brain magnetic resonance imaging showed an enhancing left frontal lobe lesion, raising suspicion for metastatic lung cancer. However, computed tomography-guided biopsy confirmed fungal pneumonia with "titan" cells, and a positive serum cryptococcal antigen test confirmed

conclusionCryptococcosis is increasing in immunocompetent individuals in China and should be considered in pneumonia and lung or brain lesions.

Indexed as

Case reportCryptococcal encephalitisCryptococcus neoformansMagnetic resonance imagingPulmonary cryptococcus infectionTransbronchial biopsy

Identifiers

PMID40671748
PMCPMC12019096

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.