Primary cutaneous cryptococcosis following trauma of the right forearm.
A 62-year-old woman with sarcoidosis II, status post systemic steroid treatment, developed an inflammatory, infiltrative skin lesion in the area of a traumatic haematoma of the right forearm. The clinical appearance at first corresponded to bullous erysipelas. Antibiotic therapy, which was instituted immediately, proved to be ineffective. A microbiological swab revealed infection with Cryptococcus neoformans. A systemic cryptococcosis could be excluded. Therapy with 200 mg itraconazole twice daily resulted in a prompt improvement.
Bohne
T
T
Universitäts-Hautklinik, Universität Freiburg, Germany.
Sander
A
A
Pfister-Wartha
A
A
Schöpf
E
E
D000058:Accidental Falls; D000935:Antifungal Agents / Q000627:therapeutic use*; D003453:Cryptococcosis / Q000175:diagnosis / Q000188:drug therapy* / Q000209:etiology; D003455:Cryptococcus neoformans / Q000302:isolation & purification; D003881:Dermatomycoses / Q000175:diagnosis / Q000188:drug therapy* / Q000209:etiology; D003937:Diagnosis, Differential; D005260:Female; D005542:Forearm; D006406:Hematoma; D006801:Humans; D017964:Itraconazole / Q000627:therapeutic use*; D008875:Middle Aged; D012507:Sarcoidosis / Q000150:complications*
D000935:Antifungal Agents; D017964:Itraconazole