Cryptococcal Infection

Cryptococcal infection is a fungal disease caused by Cryptococcus neoformans, primarily affecting immunocompromised individuals, with clinical manifestations ranging from pulmonary and cutaneous involvement to life-threatening cryptococcal meningitis characterized by subacute headache, fever, and altered mental status. Diagnosis relies on cerebrospinal fluid analysis using India ink preparations and cryptococcal antigen testing. Cutaneous cryptococcosis presents as various skin lesions, often resulting from hematogenous spread in disseminated cases, and may follow exposure to environmental sources such as soil, bird droppings, or wood debris. Pulmonary cryptococcosis, which can occur as a primary infection or part of systemic disease, typically affects those with underlying immunodeficiency or chronic lung conditions but may also occur in healthy individuals, presenting with cough, chest pain, dyspnea, fever, and weight loss, though many cases remain asymptomatic.