Cutaneous cryptococcosis mimicking basal cell carcinoma in a patient with AIDS

J Cutan Med Surg. 1998 Jul;3(1):43-5. doi: 10.1177/120347549800300112.

Abstract

Background: Cryptococcosis is an opportunistic infection caused by the encapsulated yeast Cryptococcus neoformans. This ubiquitous organism has emerged as a frequent finding in immunosuppressed patients, especially those with underlying malignancies, organ transplants, and the acquired immune deficiency syndrome (AIDS). Cutaneous manifestations of cryptococcosis occur in 10 to 15% of patients having systemic involvement. These skin lesions may simulate a variety of different disease entities.

Methods: A case of crytococcosis mimicking a basal cell carcinoma is the subject of a case report presentation.

Results: A case of cutaneous cryptococcosis mimicking basal cell carcinoma occurred in a patient with AIDS, who did not appear to have dissemination, but was treated aggressively to stem possible occult systemic disease.

Conclusion: Cutaneous crytococcosis may mimic other dermatologic disorders.

Publication types

  • Case Reports

MeSH terms

  • AIDS-Related Opportunistic Infections / diagnosis*
  • AIDS-Related Opportunistic Infections / drug therapy
  • Adult
  • Antifungal Agents / therapeutic use
  • Cryptococcosis / diagnosis*
  • Cryptococcosis / drug therapy
  • Dermatomycoses / diagnosis*
  • Dermatomycoses / drug therapy
  • Facial Dermatoses / diagnosis
  • Facial Dermatoses / drug therapy
  • Female
  • Fluconazole / therapeutic use
  • Humans

Substances

  • Antifungal Agents
  • Fluconazole