Background And Purpose: Cryptococcosis is a known opportunistic infection. Thymomas are known to cause immune dysregulation. We describe an atypical case of cutaneous cryptococcosis in a patient with acquired T cell immunodeficiency that has been found to be secondary to a type B3 thymoma with progression to carcinoma.
Case Report: A 63-year-old male presented with a chronic skin lesion confirmed as on biopsy and an incidental mediastinal mass found during infectious work-up for the notable cluster of differentiation 4 (CD4)+ lymphopenia. This led to the diagnosis of a type B3 thymoma requiring resection. The cryptococcal lesion was treated successfully with azole therapy.
Conclusion: is an opportunistic infection rarely associated with isolated T cell immunodeficiency due to thymomas. A multidisciplinary approach and understanding of the pathogenicity of and the immunological effect of thymic dysfunction are paramount to diagnosis and treatment.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9825796 | PMC |
http://dx.doi.org/10.18502/CMM.8.2.10334 | DOI Listing |
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