Cryptococcus neoformans

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  • Cryptococcus neoformans
  • Causes a granulomatous rhinitis, gelatinous exudate, granulomatous pneumonia
  • Nodules or destructive masses which often result in facial swelling
  • In severe cases, extension from nasal cavity to involve skin and oral mucosa can occur
  • Can invade through adjacent structures, eg: through the cribiform plate into the brain! These cases therefore can present as a primary neurological disease.
  • Microscopic:
    • Large number of fungi and only few macrophages, lymphocytes and giant cells