Skeletal Cryptococcosis: Case Report and Review of the Literature
A case of isolated cryptococcal skull infection is presented in a patient with unexplained CD4 lymphopenia and chronic hepatitis B. All cases of this disease reported in the English literature from 1956 to the present are reviewed. The literature suggests that skeletal cryptococcosis is manifested i...
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| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Wiley
1996-01-01
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| Series: | Canadian Journal of Infectious Diseases |
| Online Access: | http://dx.doi.org/10.1155/1996/102103 |
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| _version_ | 1832559387706654720 |
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| author | Lori Wood Lil Miedzinski |
| author_facet | Lori Wood Lil Miedzinski |
| author_sort | Lori Wood |
| collection | DOAJ |
| description | A case of isolated cryptococcal skull infection is presented in a patient with unexplained CD4 lymphopenia and chronic hepatitis B. All cases of this disease reported in the English literature from 1956 to the present are reviewed. The literature suggests that skeletal cryptococcosis is manifested in only 5% to 10% of recognized cases of disseminated cryptococcosis and that isolated skeletal disease without evidence of other tissue involvement is even less common. When isolated bony disease does occur it tends to occur in immunocompromised hosts, particularly those with defects of cell mediated immunity. Any bony site can be involved, most commonly the vertebrae, with the presentation often being a soft tissue swelling and pain in the affected area. Systemic constitutional symptoms occur in a minority of patients. Radiographic investigations are nonspecific and the gold standard of diagnosis remains culture isolation from bone tissue. The most commonly employed therapy for isolated bone disease is amphotericin alone or combined with surgical debridement. The new azoles may have a role in future therapy. |
| format | Article |
| id | doaj-art-f4a6d6fc3c28415e80138ad04c4e0af3 |
| institution | Kabale University |
| issn | 1180-2332 |
| language | English |
| publishDate | 1996-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Canadian Journal of Infectious Diseases |
| spelling | doaj-art-f4a6d6fc3c28415e80138ad04c4e0af32025-02-03T01:30:12ZengWileyCanadian Journal of Infectious Diseases1180-23321996-01-017212513210.1155/1996/102103Skeletal Cryptococcosis: Case Report and Review of the LiteratureLori Wood0Lil Miedzinski1Division of Infectious Diseases, University of Alberta Hospitals, Edmonton, Alberta, CanadaDivision of Infectious Diseases, University of Alberta Hospitals, Edmonton, Alberta, CanadaA case of isolated cryptococcal skull infection is presented in a patient with unexplained CD4 lymphopenia and chronic hepatitis B. All cases of this disease reported in the English literature from 1956 to the present are reviewed. The literature suggests that skeletal cryptococcosis is manifested in only 5% to 10% of recognized cases of disseminated cryptococcosis and that isolated skeletal disease without evidence of other tissue involvement is even less common. When isolated bony disease does occur it tends to occur in immunocompromised hosts, particularly those with defects of cell mediated immunity. Any bony site can be involved, most commonly the vertebrae, with the presentation often being a soft tissue swelling and pain in the affected area. Systemic constitutional symptoms occur in a minority of patients. Radiographic investigations are nonspecific and the gold standard of diagnosis remains culture isolation from bone tissue. The most commonly employed therapy for isolated bone disease is amphotericin alone or combined with surgical debridement. The new azoles may have a role in future therapy.http://dx.doi.org/10.1155/1996/102103 |
| spellingShingle | Lori Wood Lil Miedzinski Skeletal Cryptococcosis: Case Report and Review of the Literature Canadian Journal of Infectious Diseases |
| title | Skeletal Cryptococcosis: Case Report and Review of the Literature |
| title_full | Skeletal Cryptococcosis: Case Report and Review of the Literature |
| title_fullStr | Skeletal Cryptococcosis: Case Report and Review of the Literature |
| title_full_unstemmed | Skeletal Cryptococcosis: Case Report and Review of the Literature |
| title_short | Skeletal Cryptococcosis: Case Report and Review of the Literature |
| title_sort | skeletal cryptococcosis case report and review of the literature |
| url | http://dx.doi.org/10.1155/1996/102103 |
| work_keys_str_mv | AT loriwood skeletalcryptococcosiscasereportandreviewoftheliterature AT lilmiedzinski skeletalcryptococcosiscasereportandreviewoftheliterature |