ISOLATED PULMONARY CRYPTOCOCCOSIS IN PREGNANCY

Background: Isolated pulmonary cryptococcosis in an immunocompetent pa rturient host is a rare event. Little is known about this condition, i ts prognosis, and its treatment in the immunocompetent pregnant woman. Case: A 28-year-old woman, para 3, was diagnosed with isolated pulmon ary cryptococcosis postpartum. She had delivered a healthy neonate at term who revealed no clinical features compatible with maternal-fetal transmission. The woman was monitored closely throughout the course of her disease and radiogic, clinical, and serologic resolution was achi eved after treatment with fluconazole. Conclusion: Patients with pulmo nary cryptococcosis present with clinical pictures similar to other we ll-known diseases such as septic pulmonary emboli or choriocarcinoma. Treatment with triazole antifungal therapy yielded favorable results i n our patient with this rare condition. (Obstet Gynecol 1998;92:682-4. (C) 1998 by The American College of Obstetricians and Gynecologists.) .