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“Background Cryptococcosis, a potentially fatal fungal disease, has primarily ioxilan been observed in immune-compromised individuals and mainly associated with Cryptococcus neoformans infection. It is now recognized that Cryptococcus gattii, once considered to be a variety of the Cryptococcus neoformans complex, is also capable of causing serious disease in immunocompetent individuals and animals [1, 2]. C. gattii has been associated with a number of tree species in tropical and subtropical regions . More recently, C. gattii caused an outbreak that began in 1999 on Vancouver Island, British Columbia and has spread to mainland Canada and the US Pacific Northwest .