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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diagnosed With Cryptococcus Fungus, On Diflucan, Have Severe Cough, Bumps On The Body. What Could Be Wrong?

Hi Dr Samuel , I m looking for a an infectious desease doctor. My husband has been diagnose with cryptococcus fungus. It been 2 years now. Currently he is beeing seen by a doctor it it kind of frustrating because the process of getting a diagnosis is very slow. Hes been in diflucan 800mg every day he is severely coughing with a lot of bumps showing up in his body, what should I do. I would like to get a second opinion, may be other specialist can think and find out what is really wrong with my husband
Sat, 28 Dec 2013
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Infectious Diseases Specialist 's  Response
Hi,

Welcome to HCM.

Cryptococcus is an opportunistic fungus and causes infection is severely debilitated or immunosuppressed patients. Has your husband been screened for HIV? I suggest you get him screened for HIV just to rule out immunocompromise due to HIV infection. Systemic fungal disease requires time to cure and antifungal therapy must be given for a longer time. If he is not responding to the present therapy, I suggest you get an antifungal susceptibility test done and let his treating doctor decide if he needs a change in the antifungal therapy based on the test results.
Thanks.
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Diagnosed With Cryptococcus Fungus, On Diflucan, Have Severe Cough, Bumps On The Body. What Could Be Wrong?

Hi, Welcome to HCM. Cryptococcus is an opportunistic fungus and causes infection is severely debilitated or immunosuppressed patients. Has your husband been screened for HIV? I suggest you get him screened for HIV just to rule out immunocompromise due to HIV infection. Systemic fungal disease requires time to cure and antifungal therapy must be given for a longer time. If he is not responding to the present therapy, I suggest you get an antifungal susceptibility test done and let his treating doctor decide if he needs a change in the antifungal therapy based on the test results. Thanks.