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Case Reports
. 2018 Mar;4(1):30-33.
doi: 10.18502/cmm.4.1.32.

First report of Vulvovaginitis due to Cryptococcus magnus in Iran

Affiliations
Case Reports

First report of Vulvovaginitis due to Cryptococcus magnus in Iran

Ali Ghajari et al. Curr Med Mycol. 2018 Mar.

Abstract

Background and purpose: Cryptococcus. magnus is a non-Cryptococcus neoformans species isolated from certain plants, soil, air, and arctic glaciers.

Case report: This report describes a case of a 23-year-old Iranian female with pruritus and vaginal irritation. Conventional tests and molecular analysis of the samples of vaginal discharge were performed. The mentioned analyses revealed Cryptococcus magnus as the causative agent of vaginal infection. The minimum inhibitory concentration analysis revealed that this species is susceptible to itraconazole, fluconazole, ketoconazole, and amphotericin B. The patient received 200 mg of oral ketoconazole once daily for 10 days. The patient did not show any clinical signs of vaginal infection after six months.

Conclusion: C. magnus was found to have the ability to cause vulvovaginitis. This is the first report of successful detection and treatment of vulvovaginal infection with C. magnus.

Keywords: Cryptococcus magnus; Isolation; Ribosomal 28S DNA sequence.

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Conflict of interest statement

None declared.

Figures

Figure 1
Figure 1
Cream-colored colonies, slightly mucoid (A), and pink-colored colonies after three days on Sabouraud Dextrose Agar (B)
Figure 2
Figure 2
Ovoid to elongate, single or pairs of cells without pseudomycelium (A); stain according to Indian ink (B), Stain according to Methylene blue (C)

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