disseminated cryptococcus india ink stain

His chest X-ray was normal.Ī fine needle aspiration of the nodule was done. Biochemical profile including blood sugar was normal. Investigations revealed a white cell count of 6,900 cells/mm3 with 65% neutrophils, 33% lymphocytes and 2% eosinophils. There were no such nodules anywhere else in the body. His general and systemic examination did not reveal any abnormalities. On examination, there was a firm, non-tender, 2 cms x 1 cm subcutaneous nodule over the right abdomen, below the right costal margin (Fig. There was no history of local injury at the site of the nodule, fever, headache, cough or diabetes. Case ReportĪ 32 year old male, presented with complaints of a painless nodule in the right upper abdominal wall since one month. The presence of cutaneous lesions may be an early marker of disseminated disease.1 However, primary cutaneous cryptococcosis (PCC) has been seen to occur in immunocompetent as well as immunocompromised individuals.2 We report herein a case of primary cutaneous cryptococcosis in an immunocompetent male seen at our hospital. neoformans are found in approximately 5% of patients with cryptococcal meningitis and are attributable to haematogenous dissemination. © IntroductionĬryptococcus neoformans is an encapsulated yeast responsible for meningitis in immunocompromised hosts. He improved on treatment with oral Fluoconazole.

Cryptococcus neoformans was isolated from the lesion and no underlying disorder could be detected. He gave a history of exposure to pigeon droppings. We report a case of an apparently immunocompetent male, who presented with a painless nodule over the upper abdominal wall.

Disseminated cryptococcus india ink stain