Primary cutaneous cryptococcosis in an immunocompetent man: A case report
Cutaneous cryptococcosis usually develops secondary to hematogenous spread in immunocompromised hosts. Primary cutaneous cryptococcosis (PCC) is a rare condition characterized by localized skin eruptions and positive culture for Cryptococcus neoformans but without dissemination to the internal organ...
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doaj-44f7be94a592414388853a6c093a039c2020-11-25T02:07:58ZengWolters Kluwer Medknow PublicationsDermatologica Sinica1027-81172013-06-01312909310.1016/j.dsi.2012.07.001Primary cutaneous cryptococcosis in an immunocompetent man: A case reportYing-Yi Lu0Chieh-Shan Wu1Chien-Hui Hong2Department of Dermatology, Kaohsiung Veterans General Hospital, Kaohsiung, TaiwanDepartment of Dermatology, Kaohsiung Veterans General Hospital, Kaohsiung, TaiwanDepartment of Dermatology, Kaohsiung Veterans General Hospital, Kaohsiung, TaiwanCutaneous cryptococcosis usually develops secondary to hematogenous spread in immunocompromised hosts. Primary cutaneous cryptococcosis (PCC) is a rare condition characterized by localized skin eruptions and positive culture for Cryptococcus neoformans but without dissemination to the internal organs. Herein, we describe a typical case of PCC in an immunocompetent male who presented with a 1-month history of scattered erythematous indurated papules and plaques on his arm and without fever. The histology of his skin, tissue culture, and multiplex polymerase chain reaction (PCR) confirmed cutaneous cryptococcal infection by C neoformans var. neoformans. After extensive work-ups showed no evidence of systemic dissemination or underlying cellular-immunity deficiency, the diagnosis of primary cutaneous cryptococcosis was made. Treatment with fluconazole 400 mg daily for 14 days followed by 200 mg daily for another 14 days led to complete resolution of the skin lesions, and subsequent follow-up showed no signs of relapse.http://www.sciencedirect.com/science/article/pii/S1027811712000602Cryptococcus neoformansimmunocompetentprimary cutaneous cryptococcosis |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Ying-Yi Lu Chieh-Shan Wu Chien-Hui Hong |
spellingShingle |
Ying-Yi Lu Chieh-Shan Wu Chien-Hui Hong Primary cutaneous cryptococcosis in an immunocompetent man: A case report Dermatologica Sinica Cryptococcus neoformans immunocompetent primary cutaneous cryptococcosis |
author_facet |
Ying-Yi Lu Chieh-Shan Wu Chien-Hui Hong |
author_sort |
Ying-Yi Lu |
title |
Primary cutaneous cryptococcosis in an immunocompetent man: A case report |
title_short |
Primary cutaneous cryptococcosis in an immunocompetent man: A case report |
title_full |
Primary cutaneous cryptococcosis in an immunocompetent man: A case report |
title_fullStr |
Primary cutaneous cryptococcosis in an immunocompetent man: A case report |
title_full_unstemmed |
Primary cutaneous cryptococcosis in an immunocompetent man: A case report |
title_sort |
primary cutaneous cryptococcosis in an immunocompetent man: a case report |
publisher |
Wolters Kluwer Medknow Publications |
series |
Dermatologica Sinica |
issn |
1027-8117 |
publishDate |
2013-06-01 |
description |
Cutaneous cryptococcosis usually develops secondary to hematogenous spread in immunocompromised hosts. Primary cutaneous cryptococcosis (PCC) is a rare condition characterized by localized skin eruptions and positive culture for Cryptococcus neoformans but without dissemination to the internal organs. Herein, we describe a typical case of PCC in an immunocompetent male who presented with a 1-month history of scattered erythematous indurated papules and plaques on his arm and without fever. The histology of his skin, tissue culture, and multiplex polymerase chain reaction (PCR) confirmed cutaneous cryptococcal infection by C neoformans var. neoformans. After extensive work-ups showed no evidence of systemic dissemination or underlying cellular-immunity deficiency, the diagnosis of primary cutaneous cryptococcosis was made. Treatment with fluconazole 400 mg daily for 14 days followed by 200 mg daily for another 14 days led to complete resolution of the skin lesions, and subsequent follow-up showed no signs of relapse. |
topic |
Cryptococcus neoformans immunocompetent primary cutaneous cryptococcosis |
url |
http://www.sciencedirect.com/science/article/pii/S1027811712000602 |
work_keys_str_mv |
AT yingyilu primarycutaneouscryptococcosisinanimmunocompetentmanacasereport AT chiehshanwu primarycutaneouscryptococcosisinanimmunocompetentmanacasereport AT chienhuihong primarycutaneouscryptococcosisinanimmunocompetentmanacasereport |
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