title: [Primary cutaneous cryptococcosis in a pigeon breeder].
abstract: A Danish 73 year-old male patient with polymyalgia rheumatica and in prednisone treatment presented with a cutaneous ulcer on the hand caused by a scratch from a pigeon. Initial treatment with antibiotics was unsuccessful. Biopsy revealed Cryptococcus neoformans and the patient recovered on antifungal treatment. Primary cutaneous cryptococcosis is a rare manifestation of a C. neoformans infection. This case exemplifies the importance of differential diagnosis in immunosuppressed patients who do not respond to a given treatment.
authors.affiliation: Neurologisk Afdeling, Rigshospitalet, Denmark. kjeldandersen@dadlnet.dk
authors.forename: Kjeld
authors.initials: K
authors.lastname: Andersen
authors.forename: Pernille
authors.initials: P
authors.lastname: Ravn
authors.forename: Jette
authors.initials: J
authors.lastname: Bangsborg
mesh_terms: D000368:Aged; D000822:Animal Husbandry; D000818:Animals; D010856:Columbidae / Q000382:microbiology; D003453:Cryptococcosis / Q000175:diagnosis / Q000188:drug therapy / Q000473:pathology; D003455:Cryptococcus neoformans; D003881:Dermatomycoses / Q000175:diagnosis / Q000188:drug therapy / Q000473:pathology; D003937:Diagnosis, Differential; D006801:Humans; D016867:Immunocompromised Host; D008297:Male