A Case of Disseminated Cutaneous Cryptococcosis Accompanied by Pulmonary Tuberculosis.

Choi, Hae Jin; Lee, Sang Hwa; Lee, Tae Hoon; Yoo, Kwang Ha; Lee, Kye Young; Kim, Sun Jong

doi:2008.65.6.527

Tuberc Respir Dis > Volume 65(6); 2008 > Article

Case Report

Tuberculosis and Respiratory Diseases 2008;65(6):527-531.
DOI: https://doi.org/10.4046/trd.2008.65.6.527 Published online December 1, 2008.

A Case of Disseminated Cutaneous Cryptococcosis Accompanied by Pulmonary Tuberculosis.

Hae Jin Choi, Sang Hwa Lee, Tae Hoon Lee, Kwang Ha Yoo, Kye Young Lee, Sun Jong Kim

¹Department of Internal Medicine, Konkuk University Hospital, School of Medicine, Konkuk University, Seoul, Korea. sjkim@kuh.ac.kr
²Department of Pathology, Konkuk University Hospital, School of Medicine, Konkuk University, Seoul, Korea.

Abstract

Although disseminated cryptococcosis occurs most commonly in immunocompromised patients, particularly those with a human immunodeficiency virus (HIV) infection, it can occur in immune competent persons. There are no case reports of disseminated cutaneous crytpcoccosis associated with pulmonary tuberculosis in Korea. A 71-year-old female presented with fever and multiple cutaneous nodules. She was finally diagnosed with disseminated cutaneous cryptococcosis accompanied by pulmonary tuberculosis, and was treated successfully with anti-tuberculous medication and fluconazole. She had no apparent predisposing conditions for systemic cryptococcosis. We report this case with a review of the relevant literature.

Key Words: Cryptococcosis, Tuberculosis