2017
DOI: 10.1590/abd1806-4841.20176343
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Disseminated cryptococcosis with skin lesions: report of a case series

Abstract: Cryptococcosis is a common fungal infection in immunocompromised patients, caused by genus Cryptococcus, presenting with meningitis, pneumonia, and skin lesions. Cutaneous presentation can be varied, but specifically in solid organ transplant recipients (iatrogenically immunocompromised), cryptococcosis should always be considered in the differential diagnosis of cellulitis-like lesions, since the delay in diagnosis leads to worse prognosis and fatal outcome. We report four cases of cryptococcosis with cutaneo… Show more

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Cited by 21 publications
(18 citation statements)
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“…The common initial sites of Cryptococcal infection include the lung and the brain, which primarily suggests pathogenesis through the respiratory tract. However, various infection sites reported on the skin, lung, parotid, muscle, breast, or mediastinal abscess in the literature favors the hypothesis of hematogenous or lymphatic dissemination [ 5 , 11 , 12 ]. In the present reported patient, the culture of blood, CSF, and breast aspiration were positive, which proved hematogenous spreading and might explain why the breast infection was bilateral, and diffuse.…”
Section: Discussionmentioning
confidence: 99%
“…The common initial sites of Cryptococcal infection include the lung and the brain, which primarily suggests pathogenesis through the respiratory tract. However, various infection sites reported on the skin, lung, parotid, muscle, breast, or mediastinal abscess in the literature favors the hypothesis of hematogenous or lymphatic dissemination [ 5 , 11 , 12 ]. In the present reported patient, the culture of blood, CSF, and breast aspiration were positive, which proved hematogenous spreading and might explain why the breast infection was bilateral, and diffuse.…”
Section: Discussionmentioning
confidence: 99%
“…In turn, C. neoformans most often affects immunocompromised patients, e.g. those with AIDS and organ transplant recipients (Hayashida et al 2017;Zhang et al 2019). The cutaneous manifestations may include nodules, papules, pustules, abscesses, subcutaneous swelling, cellulitis-like erythema, and pyoderma gangrenosum-like ulcerations (Table 1) (Kikuchi et al 2016;Hayashida et al 2017).…”
Section: Cryptococcosismentioning
confidence: 99%
“…those with AIDS and organ transplant recipients (Hayashida et al 2017;Zhang et al 2019). The cutaneous manifestations may include nodules, papules, pustules, abscesses, subcutaneous swelling, cellulitis-like erythema, and pyoderma gangrenosum-like ulcerations (Table 1) (Kikuchi et al 2016;Hayashida et al 2017). Disseminated infection should always be ruled out in patients with cutaneous cryptococcosis (Perfect et al 2010).…”
Section: Cryptococcosismentioning
confidence: 99%
“…Virginia Velasco-Tamariz 1 , Raquel Aragón-Miguel 1 , Elena Gutiérrez-Solís 2 , Mónica Milla-Castellanos 2 , Francisco López-Medrano 3 , Laura Corbella-Vazquez 3 , Raúl Recio-Martínez 4 , Alfredo Pérez-Rivilla 4 , José Luis Rodríguez-Peralto 5 , Pablo Luis Ortiz-Romero 1 , Carlos Zarco-Olivo 1…”
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