2016, Number 4
Dermatología Cosmética, Médica y Quirúrgica 2016; 14 (4)
Barbosa-Zamora A, de la Herrán-Millán P, BonifazA
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ABSTRACTCutaneous cryptococcosis is a fungal infection caused by the encapsulated yeasts; Cryptococcus neoformans and Cryptococcus gattii. It can be classified in primary, causing most infections in immunocompetent patients and disseminated in immunocompromised mainly aids and post transplant patients. The clinical manifestations are very polymorphic. For diagnosis, it is necessary the isolation of Cryptococcus sp. in India ink, biopsy, dextrose agar culture and serologic tests targeting capsular antigens. Therapeutic management is divided in three stages: induction, consolidation and maintenance. Gold standard is Anfotericin b plus 5-fluorocitosine.