Anais Brasileiros de Dermatologia
On-line version ISSN 1806-4841
TROPE, Beatriz M. et al. Cryptococcal panniculitis in a renal transplant recipient. An. Bras. Dermatol. [online]. 2008, vol.83, n.3, pp. 233-236. ISSN 1806-4841. http://dx.doi.org/10.1590/S0365-05962008000300007.
The authors report a case of cryptococcal panniculitis in a renal transplant recipient,which was initially mistaken for bacterial cellulitis. Dermatological evaluation and laboratory studies led to the definitive diagnosis. Treatment was started with amphotericin B, followed by oral fluconazol, taking into consideration their interactions with the immunossupressive drugs. Even though clinical improvement was attained after six months, treatment was maintained during a whole year. We discuss this rare presentation of cutaneous cryptococcosis in a solid organ transplant recipient, as well as its diagnosis and therapy.
Keywords : Cryptococcosis; Fungemia; Immunosuppression; Kidney transplantation; Panniculitis.