Cutaneous cryptococcosis resembling keratoacanthoma
ABSTRACT Cutaneous cryptococcosis is a manifestation of systemic cryptococcal infection, characterized by polymorphic skin lesions that can make diagnosis challenging. We report an HIV-positive patient with a solitary facial nodule, initially diagnosed as keratoacanthoma. Histopathology, fungal cult...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Medicina Tropical (SBMT)
2025-07-01
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| Series: | Revista da Sociedade Brasileira de Medicina Tropical |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822025000100806&lng=en&tlng=en |
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| author | Alex Panizza Jalkh Naira Sulany Oliveira de Sousa Juan Diego Ribeiro de Almeida Flávia da Silva Fernandes Kátia Santana Cruz Hagen Frickmann Marcus Vinícius Guimarães Lacerda João Vicente Braga de Souza |
| author_facet | Alex Panizza Jalkh Naira Sulany Oliveira de Sousa Juan Diego Ribeiro de Almeida Flávia da Silva Fernandes Kátia Santana Cruz Hagen Frickmann Marcus Vinícius Guimarães Lacerda João Vicente Braga de Souza |
| author_sort | Alex Panizza Jalkh |
| collection | DOAJ |
| description | ABSTRACT Cutaneous cryptococcosis is a manifestation of systemic cryptococcal infection, characterized by polymorphic skin lesions that can make diagnosis challenging. We report an HIV-positive patient with a solitary facial nodule, initially diagnosed as keratoacanthoma. Histopathology, fungal culture, and cerebrospinal fluid analysis confirmed disseminated cryptococcosis with central nervous system involvement caused by Cryptococcus neoformans genotype VNI. He was treated with amphotericin B followed by fluconazole, resulting in complete clinical resolution. This case underscores the need to consider disseminated cryptococcosis in the differential diagnosis of tumorlike skin lesions, particularly in HIV-positive patients. |
| format | Article |
| id | doaj-art-5ad1e1042a2b4ec58e87772e5b7ff5de |
| institution | Kabale University |
| issn | 1678-9849 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Sociedade Brasileira de Medicina Tropical (SBMT) |
| record_format | Article |
| series | Revista da Sociedade Brasileira de Medicina Tropical |
| spelling | doaj-art-5ad1e1042a2b4ec58e87772e5b7ff5de2025-08-20T03:33:14ZengSociedade Brasileira de Medicina Tropical (SBMT)Revista da Sociedade Brasileira de Medicina Tropical1678-98492025-07-015810.1590/0037-8682-0300-2024Cutaneous cryptococcosis resembling keratoacanthomaAlex Panizza Jalkhhttps://orcid.org/0009-0006-0892-9852Naira Sulany Oliveira de Sousahttps://orcid.org/0000-0002-9344-1192Juan Diego Ribeiro de Almeidahttps://orcid.org/0000-0002-9630-0029Flávia da Silva Fernandeshttps://orcid.org/0000-0003-1591-7025Kátia Santana Cruzhttps://orcid.org/0000-0002-3295-7937Hagen Frickmannhttps://orcid.org/0000-0002-8967-9528Marcus Vinícius Guimarães Lacerdahttps://orcid.org/0000-0003-3374-9985João Vicente Braga de Souzahttps://orcid.org/0000-0002-3163-7499ABSTRACT Cutaneous cryptococcosis is a manifestation of systemic cryptococcal infection, characterized by polymorphic skin lesions that can make diagnosis challenging. We report an HIV-positive patient with a solitary facial nodule, initially diagnosed as keratoacanthoma. Histopathology, fungal culture, and cerebrospinal fluid analysis confirmed disseminated cryptococcosis with central nervous system involvement caused by Cryptococcus neoformans genotype VNI. He was treated with amphotericin B followed by fluconazole, resulting in complete clinical resolution. This case underscores the need to consider disseminated cryptococcosis in the differential diagnosis of tumorlike skin lesions, particularly in HIV-positive patients.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822025000100806&lng=en&tlng=enCryptococcusCutaneous cryptococcosiskeratoacanthoma |
| spellingShingle | Alex Panizza Jalkh Naira Sulany Oliveira de Sousa Juan Diego Ribeiro de Almeida Flávia da Silva Fernandes Kátia Santana Cruz Hagen Frickmann Marcus Vinícius Guimarães Lacerda João Vicente Braga de Souza Cutaneous cryptococcosis resembling keratoacanthoma Revista da Sociedade Brasileira de Medicina Tropical Cryptococcus Cutaneous cryptococcosis keratoacanthoma |
| title | Cutaneous cryptococcosis resembling keratoacanthoma |
| title_full | Cutaneous cryptococcosis resembling keratoacanthoma |
| title_fullStr | Cutaneous cryptococcosis resembling keratoacanthoma |
| title_full_unstemmed | Cutaneous cryptococcosis resembling keratoacanthoma |
| title_short | Cutaneous cryptococcosis resembling keratoacanthoma |
| title_sort | cutaneous cryptococcosis resembling keratoacanthoma |
| topic | Cryptococcus Cutaneous cryptococcosis keratoacanthoma |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822025000100806&lng=en&tlng=en |
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