Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with a subacute onset of non-productive cough, progressive dyspnea, and pleuritic chest pain. History significant for [immunocompromised state/HIV/corticosteroid use/organ transplant]. Denies hemoptysis or night sweats. Constitutional symptoms include low-grade fever, malaise, and unintentional weight loss.
Clinical Examination Findings
Vitals: Afebrile/Febrile, O2 saturation [X]% on RA. Pulmonary: Auscultation reveals localized or diffuse crackles, occasional wheezing, or diminished breath sounds in affected lung fields. No signs of consolidation or pleural effusion. Cardiovascular: Regular rate and rhythm, no murmurs. Integumentary: No evidence of cutaneous cryptococcomas or skin lesions. Neurological: Alert and oriented, no signs of meningeal irritation or focal deficits.
Treatment Protocol
Initiate antifungal therapy with [Fluconazole/Amphotericin B + Flucytosine] based on severity and immune status. Duration of therapy: [X] weeks/months. Monitor renal function, electrolytes, and liver enzymes regularly. Consider surgical resection for large, symptomatic pulmonary nodules or persistent masses. Follow-up CXR or CT chest to assess radiological resolution.