Cryptococcal immune reconstitution inflammatory syndrome: Cutaneous clues to disseminated cryptococcosis in a human immunodeficiency virus patient coinfected with tuberculosis on antiretroviral therapy.

A 21-year-old female patient, diagnosed with human immunodeficiency virus (HIV) in 2020 on highly active antiretroviral therapy and antitubercular therapy for 2 months for pulmonary tuberculosis, presented with multiple skin-colored umbilicated papules all over the face and body, accompanied by seve...

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Publicado en:Indian Journal of Sexually Transmitted Diseases & AIDS Vol. 46; no. 2; pp. 219 - 223
Autores principales: Vellaisamy, Seethalakshmi Ganga, Sindhuja, Ravulapalli Lakshmi, Manickam, Navakumar, Gopalan, Kannan
Formato: case study pictorial Journal Article
Publicado: Wolters Kluwer India Pvt Ltd Jul-Dec2025
Acceso en línea:Ver este registro en EBSCOhost
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      jtl: Indian Journal of Sexually Transmitted Diseases & AIDS
      issn: 25890557
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      dt: Jul-Dec2025
      vid: 46
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      pub: Wolters Kluwer India Pvt Ltd
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        atl: Cryptococcal immune reconstitution inflammatory syndrome: Cutaneous clues to disseminated cryptococcosis in a human immunodeficiency virus patient coinfected with tuberculosis on antiretroviral therapy.
      aug:
        au:
          Vellaisamy, Seethalakshmi Ganga
          Sindhuja, Ravulapalli Lakshmi
          Manickam, Navakumar
          Gopalan, Kannan
        affil: Department of Skin and STD, Vinayaka Mission's Kirupananda Variyar Medical College and Hospital, Vinayaka Mission's Research Foundation (DU), Salem, Tamil Nadu, India
      sug:
        subj:
          Meningitis, Cryptococcal Diagnosis
          Meningitis, Cryptococcal Complications
          Meningitis, Cryptococcal Drug Therapy
          Immune Reconstitution Inflammatory Syndrome Etiology
          Immune Reconstitution Inflammatory Syndrome Diagnosis
          Immune Reconstitution Inflammatory Syndrome Drug Therapy
          HIV Infections Complications
          HIV Infections Diagnosis
          HIV Infections Drug Therapy
          Tuberculosis, Pulmonary Complications
          Tuberculosis, Pulmonary Drug Therapy
          Tuberculosis, Pulmonary Diagnosis
          Cryptococcus Analysis
          Cryptococcus Immunology
          Skin Diseases, Infectious Diagnosis
          Skin Diseases, Infectious Pathology
          Skin Diseases, Infectious Microbiology
          Antiretroviral Therapy, Highly Active Adverse Effects
          Antiretroviral Therapy, Highly Active Methods
          Antiretroviral Therapy, Highly Active Standards
          Amphotericin B Therapeutic Use
          Amphotericin B Adverse Effects
          Fluconazole Therapeutic Use
          Heterocyclic Compounds Therapeutic Use
          Treatment Outcomes
          Female
          Adult
          Cerebrospinal Fluid Microbiology
          Cerebrospinal Fluid Analysis
          Spinal Puncture Methods
          CD4 Lymphocyte Count Methods
          Mycoses Diagnosis
          Mycoses Drug Therapy
          Mycoses Microbiology
          Virus Diseases Diagnosis
          Diagnosis, Differential
          Coinfection
          Sputum Microbiology
          Feces Microbiology
          Headache Etiology
          Cough Etiology
          Antitubercular Agents Therapeutic Use
          Prednisolone Therapeutic Use
          Dexamethasone Therapeutic Use
          C-Reactive Protein Blood
          Patient Compliance
          Adult: 19-44 years
          Female
      ab: A 21-year-old female patient, diagnosed with human immunodeficiency virus (HIV) in 2020 on highly active antiretroviral therapy and antitubercular therapy for 2 months for pulmonary tuberculosis, presented with multiple skin-colored umbilicated papules all over the face and body, accompanied by severe headache and cough with expectoration for the past 10 days. Needling of the lesions yielded serous discharge. Subsequent investigations, including biopsy, cerebrospinal fluid analysis, and stool examination, confirmed the presence of Cryptococcus. A lumbar puncture was performed to alleviate increased intracranial pressure. Although cryptococcal infections are prevalent among HIV individuals, prompt diagnosis is essential to reduce the mortality risk.
      pubtype: Academic Journal
      doctype:
        case study
        pictorial
        Journal Article
      ougenre: Article
    language: English
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