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KMID : 0882420140860010102
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Korean Journal of Medicine
2014 Volume.86 No. 1 p.102 ~ p.105
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A Case of Cryptococcal Myofascitis in a Patient with Iatrogenic Cushing’s Syndrome
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Jung Ji-Won
Jun Mi-Jung
Shin Eun-Hye
Yang Young-Joo
Cho Hyung-Jin
Kim Mi-Na
Lee Sang-Oh
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Abstract
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The skin is the third most common site of cryptococcosis after infections of the central nervous system and lungs. However, cryptococcosis rarely involves deep soft tissue. Here, we report a case of cryptococcal cellulitis and myofascitis in a 72-year-old woman with iatrogenic Cushing’s syndrome. Despite the administration of antibiotics, the patient continued to suffer from aggravated wounds and pain. Cultures of pus and an excisional biopsy of the skin revealed Cryptococcus neoformans. She was treated successfully with intravenous fluconazole (400 mg/day) for 14 days followed by oral fluconazole (400 mg/day) for 12 months.
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KEYWORD
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Crytptococcus neoformans, Cellulitis, Myositis, Cushing’s syndrome
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