title: Cellulitis in a Liver Transplant Patient as an Initial Manifestation of Disseminated Cryptococcal Disease.
abstract: A 50-year-old male underwent liver transplantation due to cryptogenic cirrhosis and was admitted with severe pain in the left leg as well as phlogosis. Amoxicillin/clavulanic acid was prescribed, assuming bullous erysipelas. Among the tests performed, the latex agglutination test for theCryptococcussp. antigen was positive, and in both the blood culture and blister cultureCryptococcussp. was isolated. Daily fluconazole was started. Even though liposomal amphotericin B has been started on the fifth day of hospitalization, the patient progressed to death.
authors.affiliation: Instituto Nacional de Infectologia Evandro Chagas (INI-Fiocruz), Universidade Estácio de Sá (UNESA), Rio de Janeiro, Brazil.
authors.forename: Marcos Davi
authors.initials: MD
authors.lastname: Gomes de Sousa
authors.affiliation: Instituto de Dermatologia Professor Rubem David Azulay, Santa Casa da Misericórdia do Rio de Janeiro, Rio de Janeiro, Brazil.
authors.forename: Fred
authors.initials: F
authors.lastname: Bernardes Filho
authors.affiliation: Departamento de Doenças Infecciosas, Hospital Federal dos Servidores do Estado do Rio de Janeiro (HFSE), Rio de Janeiro, Brazil.
authors.forename: Luís Eduardo
authors.initials: LE
authors.lastname: Barros Costa Fernandes
authors.affiliation: Departamento de Medicina Interna e Gastrohepatologia, Universidade Federal Fluminense, Hospital Universitário Antônio Pedro, Niterói, Brazil.
authors.forename: Cássia Regina
authors.initials: CR
authors.lastname: Guedes Leal
authors.affiliation: Instituto Nacional de Câncer, Rio de Janeiro, Brazil.
authors.forename: Cristiane
authors.initials: C
authors.lastname: Rocha Magalhães
authors.affiliation: Universidade Federal do Maranhão, São Luís, Brazil.
authors.forename: Marcos Antonio
authors.initials: MA
authors.lastname: Custódio Neto da Silva
authors.affiliation: Departamento de Doenças Infecciosas, Hospital Federal dos Servidores do Estado do Rio de Janeiro (HFSE), Rio de Janeiro, Brazil.
authors.forename: Halime
authors.initials: H
authors.lastname: Silva Barcaui
keywords: Cutaneous cryptococcosis; Liver transplantation; Skin and soft tissue infections