{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T11:10:05Z","timestamp":1756293005024,"version":"3.44.0"},"reference-count":5,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>A 25-year-old gentleman presented with multiple small ulcerations and papules covering a large portion of his face and neck, associated with general malaise. He was HIV seropositive with a total CD4 count of 78 cells\/\u00b5l. A diagnosis of <jats:italic>Molluscum contagiosum<\/jats:italic> was made and the patient discharged. He re-presented 3\u2005weeks later with a 2-day history of progressively worsening headache associated with photophobia and diarrhoea. The generalised skin eruption had worsened, now involving his torso and upper limbs. Cerebrospinal fluid examination was highly positive for cryptococcal antigens and the patient was started on amphotericin B. Skin biopsy confirmed cutaneous <jats:italic>Cryptococcus neoformans<\/jats:italic>. After 4\u2005days, the headache and photophobia resolved. A mild improvement in his skin was seen after completing 14\u2005days of treatment. He was discharged with lifelong fluconazole therapy.<\/jats:p>","DOI":"10.1136\/bcr-2012-007539","type":"journal-article","created":{"date-parts":[[2012,12,15]],"date-time":"2012-12-15T03:08:53Z","timestamp":1355540933000},"page":"bcr2012007539","source":"Crossref","is-referenced-by-count":3,"title":["A mistaken diagnosis of <i>Molluscum contagiosum<\/i> in a HIV-positive patient in rural South Africa"],"prefix":"10.1136","volume":"2012","author":[{"given":"Alvin","family":"Sornum","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Ngwelezane Hospital, Empangeni, KwaZulu-Natal, South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2012,12,14]]},"reference":[{"key":"2025082703442870000_2012.dec14_1.bcr2012007539.1","unstructured":"Heller T . ed. Hlabisa case book in TB and HIV medicine. USAID and PEPFAR, South Africa, 2009."},{"key":"2025082703442870000_2012.dec14_1.bcr2012007539.2","doi-asserted-by":"publisher","DOI":"10.1097\/QAD.0b013e3282a4a64d"},{"key":"2025082703442870000_2012.dec14_1.bcr2012007539.3","doi-asserted-by":"crossref","first-page":"25","DOI":"10.4102\/sajhivmed.v8i3.617","article-title":"Guidelines for the prevention, diagnosis and management of cryptococcal meningitis and disseminated cryptococcosis in HIV-infected patients","volume":"28","author":"Mcarthy","year":"2007","journal-title":"South African J HIV Med"},{"key":"2025082703442870000_2012.dec14_1.bcr2012007539.4","first-page":"16","article-title":"Dermatological manifestations of HIV in Africa","volume":"18","author":"Amerson","year":"2010","journal-title":"Top HIV Med"},{"key":"2025082703442870000_2012.dec14_1.bcr2012007539.5","doi-asserted-by":"publisher","DOI":"10.1258\/ijsa.2010.010182"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2012-007539","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T10:44:39Z","timestamp":1756291479000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2012-007539"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,12,14]]},"references-count":5,"alternative-id":["10.1136\/bcr-2012-007539"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2012-007539","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2012,12,14]]}}}