2015
DOI: 10.4081/idr.2015.5743
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Disseminated Cryptococcosis Presenting as Cutaneous Cellulitis in an Adolescent with Systemic Lupus Erythematosus

Abstract: We report here the case of a 17-year-old girl from Pelotas, Brazil, with systemic lupus erythematosus and disseminated cryptococcal infection. Prior to diagnosis, she was a chronic user of corticosteroids and other immunosuppressive drugs. Her first symptoms were skin lesions that simulated bacterial cellulitis. Upon suspicion, we performed a biopsy and fungal infection was confirmed. Appropriate therapy was established, and the patient was discharged after 42 days of treatment in complete remission.

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Cited by 15 publications
(19 citation statements)
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“… 4 , 8 In immunosuppressed patients, such as solid organ transplant patients, the cutaneous presentation can simulate other conditions such as bacterial cellulitis or panniculitis, clinically indistinguishable, in many cases leading to delay in diagnosis and appropriate treatment. 1 , 6 - 9 …”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“… 4 , 8 In immunosuppressed patients, such as solid organ transplant patients, the cutaneous presentation can simulate other conditions such as bacterial cellulitis or panniculitis, clinically indistinguishable, in many cases leading to delay in diagnosis and appropriate treatment. 1 , 6 - 9 …”
Section: Discussionmentioning
confidence: 99%
“… 3 In the immunocompromised patients, cryptococcosis must always be considered in the differential diagnosis of cellulitis-like or molluscum contagiosum-like lesions, because the delay in diagnosis can lead to a worse prognosis. 6 …”
Section: Introductionmentioning
confidence: 99%
“…Primary cutaneous cryptococcosis can occur in both immunocompetent [ 11 ] and immunocompromised people [ 12 , 13 ]. Only 10–15% of disseminated cryptococcal infection cases have cutaneous manifestations, and males seem to be more susceptible to cutaneous cryptococcosis [ 11 ].…”
Section: Discussionmentioning
confidence: 99%
“…Some reports indicate that Cryptococcosis of the central nervous system and Analysis of the ITS1 and ITS2 regions pulmonary infection; are common in patients who express the disseminated disease [34]. The fungus can lead the patient to extensive fibrosis in the subarachnoid space to find small veins, inducing venous congestion, causing cerebral infarction, and thus may be fatal [35].…”
Section: Clinical Presentation Of Cryptococcosismentioning
confidence: 99%