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None of these was present in our case, but he was a garbage collector and there might have been occupational exposure to Cryptococcus via soil, dust, sticks, or bird feces.

Moreover, some case reports have reported disseminated cryptococcosis in immunocompetent patient.

Cryptococcus was also cultured from bronchoalveolar lavage fluid.

Cerebrospinal fluid examination and a CT scan of the head were carried out, and both were normal. neoformans was identified in culture from both the skin and lung by multi-locus sequence typing, confirming disseminated cryptococcosis.

Computed tomography (CT) of the chest revealed cavitary lesions in the left lung [Figure 5].