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The main sites of infection include the central nervous system and lungs; skeletal infections are rarely reported. We describe the case of a Chinese man in his early 40s with a 1-year history of dermatomyositis and prolonged use of corticosteroids and immunosuppressants. During re-examination of a previously discovered pulmonary nodule, lung computed tomography revealed that the nodule had grown in size, and a bone scan revealed local bone abnormalities and mass formation in the left scapula. The initial diagnosis was lung cancer with bone metastasis; therefore, both lesions were resected. The final histopathological diagnosis was disseminated cryptococcosis. This case presents a rare and atypical manifestation of pulmonary and skeletal cryptococcosis. 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