Disseminated and cutaneous cryptococcosis by C. neoformans VNI in an immunocompetent patient
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , , |
Tipo de documento: | Relatório |
Idioma: | eng |
Título da fonte: | Jornal Brasileiro de Patologia e Medicina Laboratorial (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1676-24442020000100704 |
Resumo: | ABSTRACT Cryptococcosis is caused by yeasts of the Cryptococcus neoformans/C. gattii complex, presenting cutaneous, respiratory and disseminated forms. A 44-year-old immunocompetent male with facial lesion and latent pneumonia was hospitalized and misdiagnosed with paracoccidioidomycosis. Computerized tomography scans showed pulmonary and neurological involvement, and cultures/China ink, cryptococcal antigen test and restriction fragment length polymorphism of urease gene (URA5-RFLP) confirmed C. neoformans genotype VNI. Hemoculture indicated ampicillin-resistant Klebsiella pneumoniae (healthcare-associated infection). Fluconazole was administered, but after resistance detection, amphotericin B was chosen (cumulative dose/1500 mg). The patient was discharged with clinical remission (75 days) and amphotericin for one year (maintenance phase). |
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Disseminated and cutaneous cryptococcosis by C. neoformans VNI in an immunocompetent patientcryptococcosiscryptococcal meningitisCryptococcus neoformansamphotericin BKlebsiella pneumoniaeABSTRACT Cryptococcosis is caused by yeasts of the Cryptococcus neoformans/C. gattii complex, presenting cutaneous, respiratory and disseminated forms. A 44-year-old immunocompetent male with facial lesion and latent pneumonia was hospitalized and misdiagnosed with paracoccidioidomycosis. Computerized tomography scans showed pulmonary and neurological involvement, and cultures/China ink, cryptococcal antigen test and restriction fragment length polymorphism of urease gene (URA5-RFLP) confirmed C. neoformans genotype VNI. Hemoculture indicated ampicillin-resistant Klebsiella pneumoniae (healthcare-associated infection). Fluconazole was administered, but after resistance detection, amphotericin B was chosen (cumulative dose/1500 mg). The patient was discharged with clinical remission (75 days) and amphotericin for one year (maintenance phase).Sociedade Brasileira de Patologia Clínica2020-01-01info:eu-repo/semantics/reportinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1676-24442020000100704Jornal Brasileiro de Patologia e Medicina Laboratorial v.56 2020reponame:Jornal Brasileiro de Patologia e Medicina Laboratorial (Online)instname:Sociedade Brasileira de Patologia (SBP)instacron:SBP10.5935/1676-2444.20200017info:eu-repo/semantics/openAccessMaranhão,Fernanda Cristina AFonseca,Douglas L. HSantos,Graciella S. AFonseca,Luisa Andrea VSantos,Eduardo José LSilva,Denise Maria Weng2020-05-06T00:00:00Zoai:scielo:S1676-24442020000100704Revistahttp://www.scielo.br/jbpmlhttps://old.scielo.br/oai/scielo-oai.php||jbpml@sbpc.org.br1678-47741676-2444opendoar:2020-05-06T00:00Jornal Brasileiro de Patologia e Medicina Laboratorial (Online) - Sociedade Brasileira de Patologia (SBP)false |
dc.title.none.fl_str_mv |
Disseminated and cutaneous cryptococcosis by C. neoformans VNI in an immunocompetent patient |
title |
Disseminated and cutaneous cryptococcosis by C. neoformans VNI in an immunocompetent patient |
spellingShingle |
Disseminated and cutaneous cryptococcosis by C. neoformans VNI in an immunocompetent patient Maranhão,Fernanda Cristina A cryptococcosis cryptococcal meningitis Cryptococcus neoformans amphotericin B Klebsiella pneumoniae |
title_short |
Disseminated and cutaneous cryptococcosis by C. neoformans VNI in an immunocompetent patient |
title_full |
Disseminated and cutaneous cryptococcosis by C. neoformans VNI in an immunocompetent patient |
title_fullStr |
Disseminated and cutaneous cryptococcosis by C. neoformans VNI in an immunocompetent patient |
title_full_unstemmed |
Disseminated and cutaneous cryptococcosis by C. neoformans VNI in an immunocompetent patient |
title_sort |
Disseminated and cutaneous cryptococcosis by C. neoformans VNI in an immunocompetent patient |
author |
Maranhão,Fernanda Cristina A |
author_facet |
Maranhão,Fernanda Cristina A Fonseca,Douglas L. H Santos,Graciella S. A Fonseca,Luisa Andrea V Santos,Eduardo José L Silva,Denise Maria W |
author_role |
author |
author2 |
Fonseca,Douglas L. H Santos,Graciella S. A Fonseca,Luisa Andrea V Santos,Eduardo José L Silva,Denise Maria W |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Maranhão,Fernanda Cristina A Fonseca,Douglas L. H Santos,Graciella S. A Fonseca,Luisa Andrea V Santos,Eduardo José L Silva,Denise Maria W |
dc.subject.por.fl_str_mv |
cryptococcosis cryptococcal meningitis Cryptococcus neoformans amphotericin B Klebsiella pneumoniae |
topic |
cryptococcosis cryptococcal meningitis Cryptococcus neoformans amphotericin B Klebsiella pneumoniae |
description |
ABSTRACT Cryptococcosis is caused by yeasts of the Cryptococcus neoformans/C. gattii complex, presenting cutaneous, respiratory and disseminated forms. A 44-year-old immunocompetent male with facial lesion and latent pneumonia was hospitalized and misdiagnosed with paracoccidioidomycosis. Computerized tomography scans showed pulmonary and neurological involvement, and cultures/China ink, cryptococcal antigen test and restriction fragment length polymorphism of urease gene (URA5-RFLP) confirmed C. neoformans genotype VNI. Hemoculture indicated ampicillin-resistant Klebsiella pneumoniae (healthcare-associated infection). Fluconazole was administered, but after resistance detection, amphotericin B was chosen (cumulative dose/1500 mg). The patient was discharged with clinical remission (75 days) and amphotericin for one year (maintenance phase). |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/report |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
report |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1676-24442020000100704 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1676-24442020000100704 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.5935/1676-2444.20200017 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Patologia Clínica |
publisher.none.fl_str_mv |
Sociedade Brasileira de Patologia Clínica |
dc.source.none.fl_str_mv |
Jornal Brasileiro de Patologia e Medicina Laboratorial v.56 2020 reponame:Jornal Brasileiro de Patologia e Medicina Laboratorial (Online) instname:Sociedade Brasileira de Patologia (SBP) instacron:SBP |
instname_str |
Sociedade Brasileira de Patologia (SBP) |
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SBP |
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SBP |
reponame_str |
Jornal Brasileiro de Patologia e Medicina Laboratorial (Online) |
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Jornal Brasileiro de Patologia e Medicina Laboratorial (Online) |
repository.name.fl_str_mv |
Jornal Brasileiro de Patologia e Medicina Laboratorial (Online) - Sociedade Brasileira de Patologia (SBP) |
repository.mail.fl_str_mv |
||jbpml@sbpc.org.br |
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1752122297665191936 |