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- Title
Necrotizing fasciitis caused by Cryptococcus neoformans in a patient with pemphigus vegetans.
- Authors
Adachi, M.; Tsuruta, D.; Imanishi, H.; Ishii, M.; Kobayashi, H.
- Abstract
Cryptococcosis occurs most often in immunocompromised people. The cutaneous features of cryptococcosis include papules, pustules, nodules, subcutaneous swelling, abscesses, molluscum contagiosum-like or tumour-like lesions, cellulitis, blisters, ulcers and very rarely, necrotizing fasciitis (NF). NF is a destructive soft-tissue infection that is most typically caused by group A streptococci or by a combination of facultative and anaerobic bacteria. We present the case of a 55-year-old woman with pemphigus vegetans, who developed cryptococcal NF in the legs. She had been treated with immunosuppressants including plasmapheresis and pulse therapy with steroid and cyclophosphamide. Cryptococcal NF localized to the legs is very rare. Because diagnosis and treatment of cryptococcal infection is often delayed, clinicians should be aware of the possibility of cryptococcal infection when antibacterial therapy is not effective in an immunocompromised patient.
- Subjects
NECROTIZING fasciitis; CRYPTOCOCCOSIS; MALIGNANT pustule; NODULAR disease; CELLULITIS; BLISTERS; DISEASES in older women; SOFT tissue tumors
- Publication
Clinical & Experimental Dermatology, 2009, Vol 34, Issue 8, pe751
- ISSN
0307-6938
- Publication type
Article
- DOI
10.1111/j.1365-2230.2009.03472.x