- Author:
Ding C.H.
1
;
Wahab A.A.
1
;
Abd Rahman N.A
1
;
Zaihan S.
2
;
Abd Shukor N.
2
;
Periyasamy P.
3
;
Cheong X.K.
3
;
Mokhtar M.N.
4
Author Information
- Publication Type:Case Reports
- Keywords: Cryptococcosis; Cryptococcus neoformans; cutaneous; immunocompetent; scalp
- From:Tropical Biomedicine 2026;43(No. 2):159-162
- CountryMalaysia
- Language:English
- Abstract: Cryptococcosis is a potentially fatal invasive fungal infection with considerable health challenges. A seemingly immunocompetent middle-aged man with frequent exposure to pigeons and bird excreta presented with headaches, fever, gait instability and diplopia. Two years prior to his presentation, he sustained a blunt head trauma which resulted in sporadic headaches. On examination, a hard scalp nodule measuring approximately 3 x 3 cm was palpable on the topmost part of his head. Cryptococcus neoformans was cultured from his cerebrospinal fluid, blood and the biopsied scalp nodule. A diagnosis of disseminated cryptococcosis was made, with the scalp lesion being designated as the primary source of the infection. Following a protracted course of antifungal therapy lasting 10 weeks, the patient was asymptomatic without any neurological deficits when reviewed in the clinic at two months postdischarge.
- Full text:2026073110392463916A soft tissue lesion on the scalp as a peculiar source of disseminated.pdf


