An unusual recurrent case of Cryptococcal sacroiliitis in an immunocompetent elderly female in Rajasthan, India

Sidhya Choudhary; Ramesh Kumar Mishra; Nazneen Pathan; Aruna Vyas; Shashank Sharma; Karuna Gupta

doi:10.1016/j.mmcr.2023.03.004

An unusual recurrent case of Cryptococcal sacroiliitis in an immunocompetent elderly female in Rajasthan, India

Med Mycol Case Rep. 2023 Mar 29:40:36-39. doi: 10.1016/j.mmcr.2023.03.004. eCollection 2023 Jun.

Authors

Sidhya Choudhary¹, Ramesh Kumar Mishra¹, Nazneen Pathan¹, Aruna Vyas¹, Shashank Sharma², Karuna Gupta³

Affiliations

¹ Department of Microbiology, SMS Medical College, Jaipur, Rajasthan, India.
² Department of Radiodiagnosis, SMS Medical College, Jaipur, Rajasthan, India.
³ Department of Pathology, SMS Medical College, Jaipur, Rajasthan, India.

Abstract

A 70-year-old female presented with left sided low back pain. There was no history of any co-morbidities or immunocompromised state. Skeletal cryptococcosis was confirmed bsaed on culture and histopathology, along with pulmonary involvement. After a month of oral antifungal therapy, the patient's symptoms resolved, but an abscess relapsed at the same site, which was treated with a combination of IV Amphotericin B and 5-flucytosine followed by oral fluconazole, with no recurrence or complaints reported in subsequent follow-up.

Keywords: Cryptococcus; Diagnosis; Immunocompetent; Sacroilitis.

Publication types

Case Reports