Primary cutaneous cryptococcosis in an elderly man.
Cryptococcus neoformans is an opportunistic yeast with a worldwide distribution. Although well recognized as a cause of cutaneous disease in immunocompromised patients, this rarely occurs in healthy hosts. In this article, we present the case of a farmer who developed cutaneous cryptococcosis at the site of an injury he sustained while cleaning out his barn. Despite an extensive work-up, no evidence of disseminated disease or underlying immunosuppression was found. The patient recovered completely several weeks after beginning treatment with oral fluconazole.
Werchniak
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Dartmouth Medical School, New Hampshire, USA.
Baughman
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D000284:Administration, Oral; D000368:Aged; D000369:Aged, 80 and over; D000935:Antifungal Agents / Q000008:administration & dosage*; D001134:Arm Injuries / Q000150:complications*; D003453:Cryptococcosis / Q000188:drug therapy* / Q000209:etiology; D003881:Dermatomycoses / Q000188:drug therapy* / Q000209:etiology; D015725:Fluconazole / Q000008:administration & dosage*; D006801:Humans; D008297:Male
D000935:Antifungal Agents; D015725:Fluconazole