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Dermatology - Cryptococcosis

2/7/2024

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Dermatology - Cryptococcosis 
A initial lung infection known as cryptococcosis can spread to the skin and meninges in vulnerable individuals. Soil and bird droppings include the yeast serotypes A, B, C, and D of Cryptococcus neoformans.
Most cutaneous lesions don't cause any symptoms. Mental disorientation and headaches are frequent.
Damage
The lesions are nodules or papules with erythema surrounding them that may rupture and release a viscous fluid. Lesions in HIV patients typically appear on the face or scalp. The oral mucosa may have ulcers or nodules. Lesions resembling molluscum contagiosum are seen in HIV patients. Acneiform With a red, hot, tender, edematous region on the extremity and maybe many noncontiguous sites, cryptococcal cellulitis resembles bacterial cellulitis.
The history, clinical examination, and skin sample and culture are used to make the diagnosis. Sarcoidosis, acne, disseminated histoplasmosis, and molluscum contagiosum are among the differential conditions.
Give amphotericin B as a prescription for both short-term therapy and long-term prevention with fluconazole, which lowers the relapse rate to 4-8%.
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