Cutaneous Cryptococcosis Mimicking Leishmaniasis

The case of a 51-old-year male carpenter, who was a native of rural midwestern Brazil, presented with a 2-month history of a papule on the right malar region that had progressed to an ulcerated nodule is presented. Culture in sabouraud agar showed growth of Cryptococcus species, leading to a diagnos...

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Bibliographic Details
Published in:	The American journal of tropical medicine and hygiene Vol. 98; no. 1; pp. 3 - 4
Main Authors:	Moretti de Lima, Alexandre, Rodrigues, Milena Marchini, Santiago Reis, Carmelia Matos
Format:	Journal Article
Language:	English
Published:	United States Institute of Tropical Medicine 01-01-2018 The American Society of Tropical Medicine and Hygiene
Subjects:	Cheek Cryptococcosis - diagnosis Cryptococcosis - pathology Cryptococcus Dermatomycoses - diagnosis Dermatomycoses - pathology Diagnosis, Differential Fungal infections Fungi Humans Images in Clinical Tropical Medicine Leishmaniasis, Cutaneous - diagnosis Leishmaniasis, Cutaneous - pathology Male Medical diagnosis Middle Aged Parasitic diseases
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Summary:	The case of a 51-old-year male carpenter, who was a native of rural midwestern Brazil, presented with a 2-month history of a papule on the right malar region that had progressed to an ulcerated nodule is presented. Culture in sabouraud agar showed growth of Cryptococcus species, leading to a diagnosis of disseminated cryptococcosis involving lung and skin. The patient was treated with liposomal amphotericin B at a total dose of 4.5 g and then maintained on fluconazole 400 mg/week indefinitely, with total regression and healing of lesions.
Bibliography:	ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3 Authors’ addresses: Alexandre Moretti de Lima, Department of Dermatology, Federal University of Mato Grosso do Sul, Campo Grande, Brazil, E-mail: morettilima@yahoo.com.br. Milena Marchini Rodrigues, Department of Dermatology, Hospital de Base - São José do Rio Preto State School of Medicine (FAMERP), São José do Rio Preto, São Paulo, Brazil. E-mail: milenamarchini@hotmail.com. Carmelia Matos Santiago Reis, Department of Dermatology, Hospital Regional da Asa Norte (HRAN/SES), Brasilia, Brazil. E-mail: reiscarmelia@gmail.com.
ISSN:	0002-9637 1476-1645
DOI:	10.4269/ajtmh.17-0170