Disseminated cutaneous cryptococcosis in a patient with AIDS.
The authors study a patient carrying AIDS, with exuberant dermatological manifestations of cryptococcosis. They stress the therapeutic effectiveness of short-term amphotericin B. The authors reviewed cases of cutaneous infection with Cryptococcus reported in the national and international literature, verifying that the frequency has increased with the AIDS epidemic. Also, they discuss about the differential diagnosis with some cases of dermatosis, particularly with the disseminated giant molluscum contagiosum. In relation to the therapy, they affirm that the choice of drug depends on the organ involved, as well as the immune state of the patient.
Dinato
Sandra Lopes Mattos e
SL
Centro Universitário Lusiada/UNILUS, Departamento de Clínica Médica, Hospital Guilherme Alvaro, Rua Oswaldo Cruz 179, 11045-101 Santos, São Paulo, Brazil.
Dinato
Marcelo Mattos e
MM
Nakanishi
Carla Patrícia
CP
Almeida
José Roberto Paes de
JR
Romiti
Ney
N
D017088:AIDS-Related Opportunistic Infections / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D000328:Adult; D000666:Amphotericin B / Q000627:therapeutic use; D000935:Antifungal Agents / Q000627:therapeutic use; D003453:Cryptococcosis / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D003455:Cryptococcus neoformans / Q000302:isolation & purification*; D003881:Dermatomycoses / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D017809:Fatal Outcome; D006801:Humans; D008297:Male
D000935:Antifungal Agents; D000666:Amphotericin B