Korean Journal of Medical Mycology  1998;3(2):190-194

Two Cases of Cutaneous Cryptoccosis Mimicking Cellulitis.

Hi Jung KIM 1 ; Hyung Geun MIN ; Eil Soo LEE

Affiliations

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Keywords

Cutaneous cryptococcosis; Cellulitis

Country

Republic of Korea

Language

Korean

Abstract

Crytococcus neofomans is an encapsulated budding yeast with well-defined ecological biotopes and the second most common nose of the fungal infection in immunocompromised patients. It is 18re for a cryptoccosis infection to be localized only to the skin. We report two cases of cryptococcosis mimicking cellulitis. The frist case was suspected as primary cutaneous cyptococcosis in the 57-year-old female SIE patient who had been treated with prednisolone 60 mg/day for 1 month. Erythematous swollen patch developed on the left thigh and subsided spontaneously without relation to the course of 519 after 2 weeks of onset. The second case developed in the 45-year-old female patient with adrenal cancer. Erythematous patches developed on the medial sides of both thighs. The lesions were resistant to the combination therapy of amphotericin B 0-7 mg/kg/day and 5-fluorocytosine 100 mg/kg/day and the patient died after 1 month of treatment.