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Cellulitis in a Liver Transplant Patient as an Initial Manifestation of Disseminated Cryptococcal Disease

A 50-year-old male underwent liver transplantation due to cryptogenic cirrhosis and was admitted with severe pain in the left leg as well as phlogosis. Amoxicillin/clavulanic acid was prescribed, assuming bullous erysipelas. Among the tests performed, the latex agglutination test for the Cryptococcu...

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Detalles Bibliográficos
Autores principales: Gomes de Sousa, Marcos Davi, Bernardes Filho, Fred, Barros Costa Fernandes, Luís Eduardo, Guedes Leal, Cássia Regina, Rocha Magalhães, Cristiane, Custódio Neto da Silva, Marcos Antonio, Silva Barcaui, Halime
Formato: Online Artículo Texto
Lenguaje:English
Publicado: S. Karger AG 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5216227/
https://www.ncbi.nlm.nih.gov/pubmed/28101016
http://dx.doi.org/10.1159/000449365
Descripción
Sumario:A 50-year-old male underwent liver transplantation due to cryptogenic cirrhosis and was admitted with severe pain in the left leg as well as phlogosis. Amoxicillin/clavulanic acid was prescribed, assuming bullous erysipelas. Among the tests performed, the latex agglutination test for the Cryptococcus sp. antigen was positive, and in both the blood culture and blister culture Cryptococcus sp. was isolated. Daily fluconazole was started. Even though liposomal amphotericin B has been started on the fifth day of hospitalization, the patient progressed to death.