CELLULITIS AS FIRST CLINICAL PRESENTATION OF DISSEMINATED CRYPTOCOCCOSIS IN RENAL-TRANSPLANT RECIPIENTS

被引:32
作者
HORREVORTS, AM
HUYSMANS, FTM
KOOPMAN, RJJ
MEIS, JFGM
机构
[1] UNIV NIJMEGEN HOSP,DEPT INTERNAL MED,6500 HB NIJMEGEN,NETHERLANDS
[2] UNIV NIJMEGEN HOSP,DEPT DERMATOL,6500 HB NIJMEGEN,NETHERLANDS
关键词
D O I
10.3109/00365549409011823
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Two renal transplant recipients with cellulitis due to Cryptococcus neoformans are described. The patients were treated empirically for a presumed bacterial erysipelas, but without response. Examination of skin biopsies revealed C. neoformans as the causative organism. In both patients the cellulitis was the presenting clinical manifestation of disseminated cryptococcosis. Therapy with antifungal agents was successful. Disseminated cryptococcal disease occurs mainly in immunocompromized patients. When left untreated, it nearly always has a fatal course. Early diagnosis and appropriate therapy are therefore essential.
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页码:623 / 626
页数:4
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