Evidence map›Paper›PMID 41191723›Full record

ArticleRevista do Instituto de Medicina Tropical de Sao Paulo2025

Unusual cutaneous manifestations of disseminated Cryptococcus gattii infection in an immunocompetent host.

Carolina Andrade Lopes, Stephanie Victoria Camargo Leão Edelmuth, Alessandra Luna-Muschi, Mariane Taborda, Vítor Falcão de Oliveira, Adriana Satie Gonçalves Kono Magri, Afonso Rafael da Silva Junior, Ana Catharina de Seixas Santos Nastri, Marcello Mihailenko Chaves Magri

Abstract readCase Reports
In one paragraph

Article in Revista do Instituto de Medicina Tropical de Sao Paulo, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Carolina Andrade LopesUniversidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas, Divisão de Clínica de Moléstias Infecciosas e Parasitárias, São Paulo, São Paulo, Brazil.ORCID http://orcid.org/0000-0003-0477-7207
Stephanie Victoria Camargo Leão EdelmuthUniversidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas, Divisão de Clínica de Moléstias Infecciosas e Parasitárias, São Paulo, São Paulo, Brazil.ORCID http://orcid.org/0000-0001-7645-5755
Alessandra Luna-MuschiUniversidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas, Divisão de Clínica de Moléstias Infecciosas e Parasitárias, São Paulo, São Paulo, Brazil.ORCID http://orcid.org/0000-0001-7567-2299
Mariane TabordaUniversidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas, Divisão de Clínica de Moléstias Infecciosas e Parasitárias, São Paulo, São Paulo, Brazil.ORCID http://orcid.org/0000-0002-9900-9894
Vítor Falcão de OliveiraUniversidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas, Divisão de Clínica de Moléstias Infecciosas e Parasitárias, São Paulo, São Paulo, Brazil.ORCID http://orcid.org/0000-0003-2097-389X
Adriana Satie Gonçalves Kono MagriUniversidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas, Divisão de Clínica de Moléstias Infecciosas e Parasitárias, São Paulo, São Paulo, Brazil.ORCID http://orcid.org/0000-0001-8419-6386
Afonso Rafael da Silva JuniorUniversidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas, Divisão de Laboratório Central, São Paulo, São Paulo, Brazil.ORCID http://orcid.org/0009-0008-9509-9248
Ana Catharina de Seixas Santos NastriUniversidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas, Divisão de Clínica de Moléstias Infecciosas e Parasitárias, São Paulo, São Paulo, Brazil.ORCID http://orcid.org/0000-0001-5415-6156
Marcello Mihailenko Chaves MagriUniversidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas, Divisão de Clínica de Moléstias Infecciosas e Parasitárias, São Paulo, São Paulo, Brazil.ORCID http://orcid.org/0000-0001-7996-8265

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We report a rare case of disseminated Cryptococcus gattii species complex (CGSC) infection in a 51-year-old immunocompetent man who initially had extensive ulcerated skin nodules, an uncommon cutaneous manifestation of cryptococcosis. Positron emission tomography/computed tomography (PET/CT) revealed hypermetabolic lesions in the skin and lungs, while brain magnetic resonance imaging (MRI) demonstrated multiple cryptococcomas with mass effect. The diagnosis was confirmed by skin and lung biopsies and a positive serum cryptococcal antigen test. Induction therapy with lipid complex amphotericin B, flucytosine, and corticosteroids was initiated. This case highlights the importance of recognizing atypical cutaneous lesions as potential indicators of disseminated CGSC infection in immunocompetent individuals, and underscores the need for early antifungal management.

Indexed as

CryptococcosisCryptococcus gattiiDermatomycosesAntifungal AgentsHumansImmunocompetenceMagnetic Resonance ImagingMaleMiddle AgedPositron Emission Tomography Computed TomographyAntifungal Agents

Identifiers

PMID41191723
PMCPMC12591273

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.