Korean J Med Mycol.  2002 Mar;7(1):42-46.

A Case of Cutaneous Cryptococcosis Resembling Verrucous Granuloma

Affiliations
  • 1Department of Dermatology, Yonsei University College of Medicine, Seoul, Korea. ykpark@yumc.yonsei.ac.kr

Abstract

We report a case of cutaneous cryptococcosis resembling verrucous granuloma on the lower lip in a 18-year-old female. She presented with a 3x1.5 cm sized painful verrucous granuloma with white, yellowish crust on the lower lip for 1 year. She had gotten many shunt operations for unexplained hydrocephalus. Histopathological examination showed numerous encapsulated round spores, epithelioid cells and giant cells in the dermis. A tissue culture on Sabouraud's dextrose agar without cycloheximide showed whitish creamy colonies. The organism was identified as Cryptococcus neoformans. The lesion disappeared with the treatment of oral itraconazole (100 mg/day) for 12 weeks.

Keyword

Cryptococcosis; Itraconazole

MeSH Terms

Adolescent
Agar
Cryptococcosis*
Cryptococcus neoformans
Cycloheximide
Dermis
Epithelioid Cells
Female
Giant Cells
Glucose
Granuloma*
Humans
Hydrocephalus
Itraconazole
Lip
Spores
Agar
Cycloheximide
Glucose
Itraconazole
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