Cryptococcus neoformans Cellulitis with Cryptococcemia in a Patient on Maintenance Hemodialysis / 대한내과학회지
Korean Journal of Medicine
;
: 447-452, 2015.
Article
in Korean
| WPRIM
| ID: wpr-180820
ABSTRACT
Cryptococcus neoformans is a fungus that causes opportunistic infections in immunocompromised hosts. Skin lesions are found in 10-20% of systemic cryptococcal infections, usually secondary to cryptococcemia, while primary cutaneous cryptococcosis with cryptococcemia is very rare. We report a case of rapidly spreading cryptococcal cellulitis in a 64-year-old male on maintenance hemodialysis taking steroids for encapsulated peritoneal sclerosis. Bluish bullous cellulitis developed on the left forearm and spread rapidly to the other forearm. We identified C. neoformans in the blood and skin lesions. We treated him successfully with liposomal amphotericin B and fluconazole for 15 months. We also review the literature.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Skin
/
Steroids
/
Opportunistic Infections
/
Fluconazole
/
Cellulitis
/
Amphotericin B
/
Renal Dialysis
/
Immunocompromised Host
/
Cryptococcosis
/
Cryptococcus neoformans
Limits:
Humans
/
Male
Language:
Korean
Journal:
Korean Journal of Medicine
Year:
2015
Type:
Article
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