Cutaneous
infections is observed in 15% of
patients with disseminated
cryptococcosis with
AIDS. We present here a case of a 34 years old
female with
AIDS. She presented with multiple
skin coloured umbilicated over
face,
neck, trunk and
limbs, which mimicked
molluscum contagiosum and
kaposi sarcoma. The
tissue from cutaneous lesions was collected by excision
biopsy and processed by standard mycological
methods.
Cryptococcus neoformans was isolated and identified.
Cerebrospinal fluid (CSF) also yielded the
growth of C. neoformans . Cryptococcal
antigen was detected with a titre of 1024 by
Latex agglutination, is
serum and CSF. Her
serum was reactive for HIVI and 2
antibodies. The CD4
lymphocytes count was 80/cmm. The
HIV viral load was 2,48,084 copies/mL. She was treated with
amphotericin B injectable and oral
fluconazole. She responded well and lesions regressed.