"My peony has 26 blooms! It's in full bloom these days, so festive!" On the 2nd of this month, in Danyang City, park new village big market residential neighborhood name home, reporters saw flowers blooming. Duan Zhengming told reporters that this pot of peony flower only bloomed one flower 3 years ago, but last year it bloomed 13 flowers, which gave him and his family great joy. What's more unexpected is that this year, 26 peonies came out, two of which haven't opened all the way yet. Seeing this pot of flowers for medicine 80 centimeters high with a beautiful peony flower adorning it gives you an amazing feeling. The same pot of peony, why is it especially open and beautiful this year? A single master said that last year he replaced this peony flower with a large pot and used pigeon dung as fertilizer. "Maybe there is enough nutrition, and this flower can be refreshing!
At times like these, there's no rush to do further tests, and a detailed medical history may help; experienced doctors can often unearth clues from medical history information. It's like an old detective on a case. The patient said that there is nothing special except coughing. He usually likes to square dance and raise flowers, and when he's not doing anything, he likes to water them and fertilize them with soybeans, and the other day a florist gave pigeon poop, which is said to be nutritious when watered. This stuff is unusual! Bird droppings have guanidinium, a substance needed for the growth of silver bulb fungi, which are particularly fond of colonizing them. These fungi can cause airborne droplet transmission, pulmonary cryptococcosis. Many of the patients with clinically suspected pulmonary cryptococcosis have a history of bird contact, most commonly pigeons.
So now how do you tell if it's lung cancer or cryptococcus? Cryptococcal pod antigen testing is a highly sensitive and specific (over 90%) test. Percutaneous lung puncture with pathologic diagnosis is the most reliable! The diagnosis of this case arrived in time and was one of the masterpieces of Dr. Howe's master and Professor Huang of Shandong Cancer Hospital. The patient was then quickly discharged from the hospital after prompt treatment of her symptoms. Before leaving, the doctor instructed her to throw away the pigeon feces!
Pulmonary cryptococcosis is often misdiagnosed as tuberculosis or lung cancer, and is partly manifested as isolated nodules with common burrs, sometimes excised as tumors, which are actually a fungal infection. There are several types of cryptococcus, and there are two common types that may infect humans: Cryptococcus neoformans and Cryptococcus gattii. Of these, Cryptococcus neoformans is more common in immunocompromised people, such as those with AIDS or those on hormone therapy. Gertrongue can occur in normal people (about 20%).