Ann Dermatol.  2000 Jun;12(2):148-151. 10.5021/ad.2000.12.2.148.

Primary Cutaneous Cryptococcosis Successfully Treated With Fluconazole

• Park JH
• Ryoo YW
• Lee KS

• KMID: 2163970
• DOI: http://doi.org/10.5021/ad.2000.12.2.148

Abstract

We report a case of primary cutaneous cryptococcosis on Rt. forehead and perioral area of 57 year old woman with non-insulin dependent diabetes mellitus and Lt. cerebral infarction. She had large ulcers with yellowish purulent exudates on Rt. forehead and perioral area for 2months. A histopathological examination from the lesion showed numerous encapsulated, round spores and the organisms were identified as Cryptococcus neoformans in a series of fun-gal studies. The patient received a 5-week course of IV and oral fluconazole with resolution of her skin lesion. The patient is free of any lesion several months after completing therapy. This experience supports the use of fluconazole as initial and single therapy in primary cutaneous cryptococcosis.

Keyword

Primary cutaneous crytococcosis; Fluconazole

MeSH Terms

Cerebral Infarction
Cryptococcosis*
Cryptococcus neoformans
Diabetes Mellitus
Exudates and Transudates
Female
Fluconazole*
Forehead
Humans
Skin
Spores
Ulcer
Fluconazole