Keywords: Cryptococcus Meningitis Immunocompetent IntroductionĬryptococcus spp. Patients from countries where flucytosine is unavailable and cannot tolerate amphotericin B can benefit from fluconazole. Our patient was managed successfully with fluconazole IV followed with oral fluconazole. Most experts recommend amphotericin B combined with flucytosine. Diagnosis could be delayed because of low suspicious index in healthy population. CNS cryptococcosis in non-immunosuppressed patients is extremely unusual. Patient was managed successfully with fluconazole. HIV test was negative and lumbar puncture showed increased opening pressure and India ink stain was positive. Patient was admitted with suspected meningitis. Physical exam was remarkable for neck stiffness. Labs were unremarkable and vital signs showed fever of 38.6 ☌. A 32-year-old Hispanic male patient with no medical history, heterosexual and no toxics habits visited our institution, after visiting three emergency rooms for 1 week, complaining of general malaise, constant non-throbbing holocephalic headache 4/10 and low-grade fever of 12 days of evolution. ![]() The central nervous system (CNS) involvement is the most common manifestation in an immunocompromised patient conversely it is a very uncommon manifestation in non-immunocompromised patients. The leading defense against this fungus is the T-cell immunity, reason why it is related to immunocompromised patients (human immunodeficiency virus (HIV), organ transplant patients among others). It is described as an opportunistic pathogen. Cryptococcus is a fungus related to bird droppings (especially pigeons).
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |