HandE40XHandE400X

HandE400XB

Clinical History:

66 year old male s/p kidney transplant with pericardial effusion

 Choose the correct diagnosis:

  1. Candida pericarditis
  2. Cryptococcus pericarditis
  3. Blastomyces pericarditis
  4. Histoplasma pericarditis

The answer is “B”, Cryptococcus pericarditis

Due to their immunosuppressed status, solid organ transplant recipients are frequently afflicted by opportunistic infections. In this case we see yeast-like organisms that show variation in size (pleomorphic), exhibit narrow budding and show a thick mucinous capsule as confirmed by the mucicarmine histochemical stain. All of these features are consistent with Cryptococcus sp organisms. Although in this immunosuppressed patient the organism in question is most likely Cryptococcus neoformans, the species Cryptococcus gattii can affect immunocompetent hosts.  

GMS400X     Mucicarmine400X

References

Kradin RL, ed. Diagnostic Pathology of Infectious Disease. 2nd Edition. Philadelphia, PA: Elsevier; 2018

 


Contributed by Dr. Carlos Prieto Granada