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Long Term Chronic Pseudomonas aeruginosa Airway Infection in Mice
Published on: March 17, 2014
[Primary cutaneous cryptococcosis in a pigeon breeder]
Kjeld Andersen1, Pernille Ravn, Jette Bangsborg
1Neurologisk Afdeling, Rigshospitalet, Denmark. kjeldandersen@dadlnet.dk
Ugeskrift for Laeger
|October 1, 2011
Summary
A rare skin infection caused by Cryptococcus neoformans occurred in an immunosuppressed patient. Prompt antifungal treatment led to recovery, highlighting the need for broad differential diagnoses in non-responsive cases.
Area of Science:
- Mycology
- Dermatology
- Infectious Diseases
Background:
- Polymyalgia rheumatica (PMR) is an inflammatory condition often treated with corticosteroids like prednisone.
- Immunosuppression increases susceptibility to opportunistic infections.
- Cutaneous infections can present with diverse etiologies, including fungal pathogens.
Observation:
- A 73-year-old male patient with PMR on prednisone developed a hand ulcer after a pigeon scratch.
- Initial antibiotic therapy for the ulcer was ineffective.
- A skin biopsy was crucial for identifying the causative agent.
Findings:
- The biopsy confirmed the presence of *Cryptococcus neoformans*.
- The patient was diagnosed with primary cutaneous cryptococcosis, a rare fungal infection.
- Antifungal treatment resulted in complete recovery.
Implications:
- This case underscores the importance of considering fungal infections in immunosuppressed patients with non-healing skin lesions.
- It highlights the necessity of a thorough differential diagnosis when initial treatments fail.
- Primary cutaneous cryptococcosis, though rare, should be included in the differential for such presentations.
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