[隐球菌病：面部溃疡的一种潜在病因]

[Cryptococcosis: a potential aetiology of facial ulceration].

作者信息

Béogo R, Andonaba J-B, Bamba S, Konségré V, Diallo B, Traoré A

机构信息

Service de stomatologie et de chirurgie maxillo-faciale, CHU Sanou Souro, Bobo-Dioulasso, Burkina Faso.

Service de dermatologie et de vénérologie, CHU Sanou Souro, Bobo-Dioulasso, Burkina Faso.

出版信息

J Mycol Med. 2014 Dec;24(4):e185-8. doi: 10.1016/j.mycmed.2014.03.007.

DOI:10.1016/j.mycmed.2014.03.007

PMID:25442912

Abstract

UNLABELLED

Cutaneous cryptococcosis is an uncommon aetiology of chronic facial ulceration but which may be associated to a potentially lethal focus of cryptococcosis.

OBSERVATION

A 35-year-old AIDS patient under antiretroviral therapy, presented with a chronic facial ulceration. Histopathological examination of a biopsy of the facial ulceration showed an inflammatory granuloma and masses of yeasts. Mycological culture of the cerebrospinal fluid revealed Cryptococcus neoformans. The diagnosis of AIDS-related cutaneous cryptococcosis of the face and cryptococcal meningitis was concluded.

DISCUSSION

Cryptococcosis should be thought as a potential aetiology of a chronic facial ulceration in an AIDS patient. Screening of other foci of the cryptococcosis such as that of the central nervous system is mandatory. Mycological examinations are of great interest for the diagnosis in rare resources setting.

摘要