Citation

Taha R, Alama M, Aljhdali H, khan A, Kaki R (2019) Case Report: Necrotizing Fasciitis due to Cryptococcus Infection in Non-HIV Non-Organ Transplant. Clin Med Rev Case Rep 6:271. doi.org/10.23937/2378-3656/1410271

Copyright

© 2019 Taha R, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

CASE REPORT | OPEN ACCESS DOI: 10.23937/2378-3656/1410271

Case Report: Necrotizing Fasciitis due to Cryptococcus Infection in Non-HIV Non-Organ Transplant

Rbab Taha1*, Mohamed Alama2, Hessa Aljhdali3, Ayaz khan1 and Reham Kaki1,4

1Department of Infection Diseases, King Abdulaziz Hospital, Jeddah, Saudi Arabia

2Department of Internal Medicine, King Abdulaziz Hospital, Jeddah, Saudi Arabia

3Anatomic Pathology Specialist and Teaching Assistant, Saudi Arabia

4Department of Internal Medicine, Medical College, King Abdulaziz hospital, Jeddah, Saudi Arabia

Abstract

We are presenting 67-year-old female, known to have diabetes for 10 years, not compliance to medication. Presented with 3 weeks history of isolated right lower limb and left thigh pain. Then she started to develop redness and swelling in same areas. She had also History of dry cough for one week. Admitted as a case of necrotizing fasciitis based on clinical laboratory and radiological features. She was treated empirically with vancomycin and meropenem and went for debridement twice. Histopathology and culture showed Cryptococcus neoformans. Investigations were done to rule out other immune system disorders. We started her on high dose intravenous fluconazole. Ten days later she developed multi organ failure and death. As a conclusion, Cryptococcus might affect non-HIV patients regardless of their immune system.