We describe an HIV-positive patient suffering from cutaneous cryptococ
cosis who was a former intravenous drug abuser and who presented a nod
ulo-ulcerated lesion on the back of his left hand. This was caused 4 m
onths previously when the patient was injured by a pigeon nesting in a
n abandoned house. After fluconazole treatment for 4 months, no other
visceral infections were recorded 18 months after complete healing of
the lesion.