A Case of Primary Cutaneous Cryptococcosis in a Patient with Iatrogenic Cushing's Syndrome / 대한의진균학회지
Korean Journal of Medical Mycology
;
: 195-199, 1998.
Artigo
em Coreano
| WPRIM
| ID: wpr-94312
ABSTRACT
We presented here a case of the primary cutaneous cryptococcosis in a patient with iatrogenic Cushing's syndrome. The patient was 72-year-old female and showed painful shallow ulcer with pus discharge on the left forearm. She had been receiving systemic corticosteroids without doctor's prescription for 20 years. Laboratory findings revealed impaired cell mediated immunity, decreased serum and urine cortisol, and ACTH. A biopsy specimen showed granulomatous reaction consisting of lymphohistiocytes, multinucleated giant cell, and many spores with thick capsules. A tissue and pus culture of the lesion on Sabouraud's media at 37 degrees C showed moist smooth, mucoid creamy colored colonies 3 days later and revealed encapsulated yeast cells in the India ink preparations. The patient was successfully treated with oral itaconazole and fluconazole without side effects.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Esporos
/
Supuração
/
Úlcera
/
Leveduras
/
Biópsia
/
Cápsulas
/
Hidrocortisona
/
Fluconazol
/
Células Gigantes
/
Corticosteroides
Limite:
Idoso
/
Feminino
/
Humanos
País/Região como assunto:
Ásia
Idioma:
Coreano
Revista:
Korean Journal of Medical Mycology
Ano de publicação:
1998
Tipo de documento:
Artigo
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