A Case of Primary Cutaneous Cryptococcosis Misdiagnosel as Skin Tuberculosis
Abstract
Cryptococcosis is an opportunistic yeast infection caused by Cryptococcosis neoformans. The cutaneous manifestations are usually polymorphic and nonspecific. Lesions may appear as subcutaneous swelling, abscesses, tumor-like masses, papules or large ulcers. Therefore, diagnosis of cutaneous cryptococcosis is quite difficult and often delayed. Clinical suspicion is very important in diagnosis. A 47-year-old man presented with a ulcerative nodule on the right side of the neck. Because initial skin biopsy revealed granulomatous lesion, we misdiagnosed his lesion as skin tuberculosis and treated him with anti tuberculosis medication for 6 months. But his symptom was not improved. After second biopsy specimen had showed some spores with narrow neck budding, we confirmed this case as a cryptococcosis and successfully treated with itraconazole (200 mg/day) for 12 weeks.
Keywords
Primary cutaneous cryptococcosis
KJMM
2003 March;8(1):16-20(5). Epub 2016 February 20
Copyright © 2003 by Korean Journal of Medical Mycology
Language
Korean/English
Author
Yu Jin Kim; Department of Dermatology, College of Medicine, Chung Ang University, Seoul, Korea
Seong Jun Seo; Department of Dermatology, College of Medicine, Chung Ang University, Seoul, Korea
Byung In Ro; Department of Dermatology, College of Medicine, Chung Ang University, Seoul, Korea
Corresponding
Byung In Ro, Department of Dermatology, College of Medicine, Chung Ang University, Seoul, Korea. Tel: (02) 2260-2173, Fax: (02) 2268-1049, e-mail: drro2@hananet.net
Publication history
Acknowledgements
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Yu Jin Kim
Department of Dermatology, College of Medicine, Chung Ang University, Seoul, Korea
Seong Jun Seo
Department of Dermatology, College of Medicine, Chung Ang University, Seoul, Korea
Byung In Ro
Department of Dermatology, College of Medicine, Chung Ang University, Seoul, Korea
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