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Cryptococcal Disease

What is cryptococcal disease?

Cryptococcal disease is an infection caused by an unusual type of fungus, Cryptococcus.  There are three main types of Cryptococcus that cause disease: C.gattii, C. grubii, and C. neoformans.  Whereas C. neoformans and C. grubii cause illness predominantly in people with impaired immune systems, C. gattii can cause illness in otherwise healthy people as well as those with impaired immunity. Although infection is rare, several Washington residents were recently infected by C. gattii. The fungus can affect a person’s lungs (pneumonia) or nervous system (meningitis). In rare cases, the infection can be fatal. Animals, including pets, also can develop cryptococcal disease.

Where is this fungus found?

C. gatti lives on trees and in the soil.

Does Cryptococcus gattii occur in Washington?

C. gattii has been found in the environment in Washington.  The Washington State Department of Health has had reports of animals and humans who have acquired the infection in the state.

How are people exposed?

The infection is caused by breathing in the Cryptococcus fungus.

What are the symptoms of cryptococcal disease?

Symptoms of cryptococcal disease include:

  • Cough that lasts weeks or months
  • Sharp chest pain
  • Unexplained shortness of breath
  • Severe headache
  • Confusion
  • Fever
  • Night sweats
  • Unintended weight loss

Please consult a health care provider if you experience these symptoms.

How soon do symptoms appear?

Symptoms appear two to twelve months after exposure to the fungus.

What is the treatment?

Cryptococcal disease can be treated with antifungal medication prescribed by a health care provider.

Can I get cryptococcal disease from another person or animal?

Cryptococcal disease can not be passed from person to person or from animal to person.  A person with cryptococcal disease is not contagious.

How do I avoid getting cryptococcal disease?

There are no particular precautions that will prevent cryptococcal disease. The benefits of outdoor recreation and activities far outweigh the risks of acquiring cryptococcal disease.  Remember that this is a very rare disease, but if you experience the symptoms listed above, see a health care provider. 

Where can I get more information?

Call your local health department or the Washington State Department of Health.

  • For questions about human health:  Communicable Disease Epidemiology Section (206) 418-5500, or toll free inside Washington state (877) 539-4344
  • For questions about animal health:  Zoonotic Disease program (360) 236-3885

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