Cutaneous cryptococcosis erroneously diagnosed as histoplasma capsulatum infection

dc.contributor.authorChipungu, Geoffrey A
dc.contributor.authorChristians, Sean J
dc.contributor.authorOliver, Stephen P
dc.date.accessioned2017-05-17T09:35:59Z
dc.date.available2017-05-17T09:35:59Z
dc.date.issued2008
dc.date.updated2016-01-08T07:29:17Z
dc.description.abstractA 31-year-old patient with stage 4 HIV/AIDS presented with recurrent painful skin ulcers for more than 8 months. These would start as subcutaneous skin nodules, later becoming fluctuant and suppurating and then healing spontaneously (Fig. 1). The patient had lesions on the left wrist, left posterior thigh, right axilla, right posterior calf and right upper eyelid. He had also been diagnosed with extrapulmonary tuberculosis and had been on highly active antiretroviral therapy (HAART) for 8 months and antituberculosis medication (continuation phase). After initial poor adherence to both groups of drugs, compliance had improved. The CD4 count at baseline was 16 cells/µl and the latest result was 80 cells/µl. Histological analysis of a biopsy specimen taken from the right upper eyelid lesion showed granulation tissue with some acute inflammation. Fungal spores were seen in the exudates and stains revealed ‘capsule-deficient’ fungi that were first thought to be Histoplasma, and were reported as such.
dc.identifier.apacitationChipungu, G. A., Christians, S. J., & Oliver, S. P. (2008). Cutaneous cryptococcosis erroneously diagnosed as histoplasma capsulatum infection. <i>South African Medical Journal</i>, http://hdl.handle.net/11427/24342en_ZA
dc.identifier.chicagocitationChipungu, Geoffrey A, Sean J Christians, and Stephen P Oliver "Cutaneous cryptococcosis erroneously diagnosed as histoplasma capsulatum infection." <i>South African Medical Journal</i> (2008) http://hdl.handle.net/11427/24342en_ZA
dc.identifier.citationChipungu, G. A., Christians, S. J., & Oliver, S. P. (2008). Cutaneous cryptococcosis erroneously diagnosed as Histoplasma capsulatum infection: clinical images: SAMJ forum. South African Medical Journal, 98(2), 85-86.
dc.identifier.ris TY - Journal Article AU - Chipungu, Geoffrey A AU - Christians, Sean J AU - Oliver, Stephen P AB - A 31-year-old patient with stage 4 HIV/AIDS presented with recurrent painful skin ulcers for more than 8 months. These would start as subcutaneous skin nodules, later becoming fluctuant and suppurating and then healing spontaneously (Fig. 1). The patient had lesions on the left wrist, left posterior thigh, right axilla, right posterior calf and right upper eyelid. He had also been diagnosed with extrapulmonary tuberculosis and had been on highly active antiretroviral therapy (HAART) for 8 months and antituberculosis medication (continuation phase). After initial poor adherence to both groups of drugs, compliance had improved. The CD4 count at baseline was 16 cells/µl and the latest result was 80 cells/µl. Histological analysis of a biopsy specimen taken from the right upper eyelid lesion showed granulation tissue with some acute inflammation. Fungal spores were seen in the exudates and stains revealed ‘capsule-deficient’ fungi that were first thought to be Histoplasma, and were reported as such. DA - 2008 DB - OpenUCT DP - University of Cape Town J1 - South African Medical Journal LK - https://open.uct.ac.za PB - University of Cape Town PY - 2008 T1 - Cutaneous cryptococcosis erroneously diagnosed as histoplasma capsulatum infection TI - Cutaneous cryptococcosis erroneously diagnosed as histoplasma capsulatum infection UR - http://hdl.handle.net/11427/24342 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/24342
dc.identifier.vancouvercitationChipungu GA, Christians SJ, Oliver SP. Cutaneous cryptococcosis erroneously diagnosed as histoplasma capsulatum infection. South African Medical Journal. 2008; http://hdl.handle.net/11427/24342.en_ZA
dc.language.isoeng
dc.publisher.departmentDepartment of Medicineen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.sourceSouth African Medical Journal
dc.source.urihttp://www.samj.org.za/index.php/samj
dc.titleCutaneous cryptococcosis erroneously diagnosed as histoplasma capsulatum infection
dc.typeJournal Articleen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
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