Nasser Nilton, Nasser Filho Nilton, Vieira Andreza Guimarães
Regional University Foundation of Blumenau, SC, Brazil.
An Bras Dermatol. 2011 Nov-Dec;86(6):1178-80. doi: 10.1590/s0365-05962011000600018.
The authors report a primary cutaneous cryptococcosis, caused by Cryptococcus neoformans in immunocompetent patient, a farmer who developed extensive lesions at the site of an injury caused by one of the chickens on his right forearm, while he was cleaning out his barn. Oral treatment with fluconazole was totally successful. A review of the literature showed the rarity of cutaneous cryptococcosis in immunocompetent patients and in contrast, that skin lesions frequently occur in immunocompromised patients.
作者报告了一例原发性皮肤隐球菌病,由新型隐球菌引起,患者为免疫功能正常的农民。他在清理谷仓时,右前臂被一只鸡弄伤,伤口处出现了广泛的病变。口服氟康唑治疗完全成功。文献回顾显示,免疫功能正常的患者发生皮肤隐球菌病的情况罕见,相反,皮肤病变在免疫功能低下的患者中经常出现。