Tongue lesion due to Cryptococcus neoformans as the first finding in an HIV-positive patient.
Rev Iberoam Micol
; 38(1): 19-22, 2021.
Article
in En
| MEDLINE
| ID: mdl-33388240
ABSTRACT
BACKGROUND:
Cryptococcosis is a severe universally distributed mycosis which mainly affects immunocompromised hosts. This mycosis is caused by yeasts of two species complex of the genus Cryptococcus Cryptococcus neoformans and Cryptococcus gattii. Meningeal cryptococcosis is the most frequent clinical presentation of this disseminated mycosis. The oral mucosa involvement is extremely unusual. CASE REPORT We present a case of cryptococcosis with an unusual clinical form. The patient was assisted because she had an ulcerated lesion on the lingual mucosa. Encapsulated yeasts compatible with Cryptococcus were found in microscopic exams of wet preparations from lingual ulcer clinical samples obtained for cytodiagnosis and mycological studies. Cryptococcus neoformans (C. neoformans var. grubii VNI) was isolated in culture. This patient did not know her condition of HIV seropositive before the appearance of the tongue lesion.CONCLUSIONS:
The involvement of the oral mucosa is uncommon in this fungal infection, but is important to include it in the differential diagnosis in HIV positive patients.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
HIV Seropositivity
/
Cryptococcosis
/
Cryptococcus neoformans
/
Cryptococcus gattii
Type of study:
Diagnostic_studies
Limits:
Female
/
Humans
Language:
En
Journal:
Rev Iberoam Micol
Journal subject:
MICROBIOLOGIA
Year:
2021
Document type:
Article