Secondary labial cryptococosis in immunocompetent patient: case report
DOI:
https://doi.org/10.5935/2525-5711.20210008Palabras clave:
Criptococcosis, Oral Manifestations, Lip, Stomatology, Oral MedicineResumen
Cryptococcosis is a fungal infection that produces skin lesions, and more rarely, oral lesions, which are usually secondary to lung and central nervous system involvement. It mainly affects immunosuppressed patients. A 26-year-old patient without comorbidities was diagnosed with central nervous system cryptococcosis, confirmed by detecting fungus in the cerebrospinal fluid, and presenting with an ulcerated single semi-mucosal lip nodule. The anatomopathological study of the lip lesion showed morphology compatible with Cryptococcus spp., confirmed by Grocotts staining. The patient was treated with antifungals and progressed satisfactorily. This is a case report of a rare semi-mucosal lip lesion and its possible origin.
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Neuville S, Dromer F, Morin O, Dupont B, Ronin O, Lortholary O, et al. Primary cutaneous cryptococcosis: a distinct clinical entity. Clin Infect Dis. 2003 Feb;36(3):337-47. DOI: https://doi.org/10.1086/345956
Lacaz CS, Heins-Vaccari EM, Hernández-Arriagada GL, Martins EL, Prearo CAL, Corim SM, et al. Primary cutaneous cryptococcosis due to Cryptococcus neoformans var. gattii serotype B, in an immunocompetent patient. Rev Inst Med Trop Sao Paulo. 2002 Aug;44(4):225-8. DOI: https://doi.org/10.1590/s0036-46652002000400008
Marques SA, Bastazini Junior I, Martins ALGP, Barreto JA, D'Elia MPB, Lastória JC, et al. Primary cutaneous cryptococcosis in Brazil: report of 11 cases in immunocompetent and immunosuppressed patients. Int J Dermatol. 2012 Jun;51(7):780-4. DOI: https://doi.org/10.1111/j.1365-4632.2011.05298.x
Christianson JC, Engber W, Andes D. Primary cutaneous cryptococcosis in immunocompetent and immunocompromised hosts. Med Mycol. 2003;41(3):177-88. DOI: https://doi.org/10.1080/1369378031000137224
Leão CA, Ferreira-Paim K, Andrade-Silva L, Mora DJ, Silva PR, Machado AS, et al. Primary cutaneous cryptococcosis caused by Cryptococcus gattii in an immunocompetent host. Med Mycol. 2011 May;49(4):352-5. DOI: https://doi.org/10.3109/13693786.2010.530697
Tabassum S, Rahman A, Herekar F, Masood S. Cryptococcal meningitis with secondary cutaneous involvement in an immunocompetent host. J Infect Dev Ctries. 2013 Sep;7(9):680-5. DOI: https://doi.org/10.3855/jidc.2622
Srivastava GN, Tilak R, Yadav J, Bansal M. Cutaneous Cryptococcus: marker for disseminated infection. BMJ Case Rep. 2015;2015:bcr2015210898. DOI: https://doi.org/10.1136/bcr-2015-210898
Patel S, Navas M, Batt C, Jump RLP. Oral Cryptococcosis in a patient with chronic lymphocytic leukemia. Int J Infect Dis. 2016 Sep;50:18-20. DOI: https://doi.org/10.1016/j.ijid.2016.07.008
Ng WF, Loo KT. Cutaneous cryptococcosis--primary versus secondary disease. Report of two cases with review of literature. Am J Dermatopathol. 1993 Aug;15(4):372-7.
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Derechos de autor 1969 Marcelo Marcucci, Anderson Costa Lino Costa, Elaine Cristina Cappellano
Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.
