RESUMO
Abstract Cryptococcosis is a fungal infection of opportunistic behavior that is unusual in immunocompetent patients. We report a rare case of disseminated cryptococcosis with cutaneous involvement in an immunocompetent individual. During hospitalization, Cryptococcus gattii was isolated from skin lesions, lung and spinal fluid. The diagnosis of disseminated cryptococcosis was confirmed and treatment was established. The patient showed improvement. Due to the probable clinical severity of the disease and the possibility that skin lesions may be the first manifestation of this illness, prompt diagnosis must be established and treatment provided.
Assuntos
Humanos , Masculino , Adulto , Criptococose/imunologia , Criptococose/patologia , Dermatomicoses/imunologia , Dermatomicoses/patologia , Cryptococcus gattii/isolamento & purificação , Imunocompetência , Pele/microbiologia , Pele/patologia , Resultado do Tratamento , Criptococose/tratamento farmacológico , Dermatomicoses/tratamento farmacológico , Linfocitose/complicações , Pulmão/microbiologia , Antifúngicos/uso terapêuticoRESUMO
Abstract: Chromoblastomycosis is a chronic fungal infection of the epidermis, dermis and subcutaneous tissue, in which the most common etiologic agent in Brazil is Fonsecaea pedrosoi. In more advanced cases we found many difficulties in their treatment, and therefore, we report a case of extensive and severe chromoblastomycosis, with therapeutical failure of first choice treatments, but good response to voriconazole.