CRYPTOCOCCAL MENINGOENCEPHALITIS IN A PATIENT WITH HODGKINS LYMPHOMA - SUCCESSFUL TREATMENT WITH FLUCONAZOLE

被引:0
|
作者
BOLIGNANO, G
CHINDEMI, G
CRISEO, G
机构
[1] FAC SCI MESSINA,IST MICROBIOL,SALITA SPERONE 31,I-98166 MESSINA,ITALY
[2] OSPED RIUNITI BERGAMO,MICROBIOL LAB,I-24100 BERGAMO,ITALY
关键词
CRYPTOCOCCOSIS; MENINGOENCEPHALITIS; HODGKINS LYMPHOMA; ANTIMYCOTIC CHEMOTHERAPY; FLUCONAZOLE;
D O I
暂无
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
The authors report a case of cryptococcal meningoencephalitis in a 22-year-old male with Hodgkin's disease at third stage B. Cryptococcus neoformans was isolated from cerebral spinal fluid (CSF) and blood specimens. Latex antigen agglutination tests and India ink preparations also were positive for this pathogenic yeast. Drug treatment for a week with 20 mg i.v./day of amphotericin B in combination with 2.5 g i.v./day of 5-fluorocytosine did not lead to any improvement in the patient. The patient became asymptomatic after the first week of treatment with a daily dose of 400 mg of fluconazole, administered intravenously,. After two months of this regimen, all laboratory tests on CSF and blood specimens were negative.
引用
收藏
页码:63 / 65
页数:3
相关论文
共 50 条
  • [1] Successful suppression of cutaneous cryptococcal infection in an immunocompromised patient with fluconazole
    Gonzaga, AJ
    Medina, AL
    Serrano, MA
    JOURNAL OF DERMATOLOGICAL TREATMENT, 1999, 10 (02) : 145 - 148
  • [2] Cryptococcal meningoencephalitis (CME) in an immunocompetent patient
    Vandereyken, F.
    Michielsen, G.
    Lemoyne, S.
    ACTA CLINICA BELGICA, 2010, 65 (02): : 149 - 149
  • [3] Successful treatment of Naegleria fowleri meningoencephalitis by using intravenous Amphotericin B, Fluconazole and rifampicin
    Vargas-Zepeda, J
    Gómez-Alcalá, AV
    Vázquez-Morales, JA
    Licea-Amaya, L
    De Jonckheere, JF
    Lares-Villa, F
    ARCHIVES OF MEDICAL RESEARCH, 2005, 36 (01) : 83 - 86
  • [4] Successful treatment for cryptococcal meningoencephalitis complicated by cerebral salt-wasting syndrome in a patient with chronic lymphocytic leukemia: A clinical case
    Potapenko, V. G.
    Konovalenko, I. B.
    Oksema, E. V.
    Filippova, L. N.
    Dulaeva, E. N.
    Derevyannykh, N. A.
    Krasnoruzhsky, A. I.
    Klimovich, A. V.
    Klimko, N. N.
    Medvedeva, N. V.
    TERAPEVTICHESKII ARKHIV, 2015, 87 (11) : 99 - 102
  • [5] Effects of fluconazole singly and in combination with 5-fluorocytosine or amphotericin B in the treatment of cryptococcal meningoencephalitis in an intracranial murine model
    Hossain, MA
    Mukherjee, PK
    Reyes, G
    Long, L
    Ghannoum, MA
    JOURNAL OF CHEMOTHERAPY, 2002, 14 (04) : 351 - 360
  • [6] Future strategies for the treatment of cryptococcal meningoencephalitis in pediatric patients
    Spivey, Justin R.
    Drew, Richard H.
    Perfect, John R.
    EXPERT OPINION ON ORPHAN DRUGS, 2014, 2 (03): : 245 - 257
  • [7] Cryptococcal meningoencephalitis and pneumonia in a HIV positive patient: A case report
    Mehdinezhad, Hamed
    Ghadir, Sara
    Maleh, Parviz Amri
    Akhondzadeh, Ailin
    Baziboroun, Mana
    CLINICAL CASE REPORTS, 2024, 12 (08):
  • [8] Successful Treatment of Cryptococcal Meningitis and Cryptococcoma with Isavuconazole in a Patient Living with HIV
    O'Kelly, Brendan
    Mohamed, Aia
    Bergin, Colm
    Lyons, Fiona
    Rogers, Thomas R.
    O'Connell, Brian
    Devitt, Emma
    JOURNAL OF FUNGI, 2021, 7 (06)
  • [9] Takotsubo Cardiomyopathy Secondary to Cryptococcal Meningoencephalitis in a Patient With Multiple Sclerosis
    Stephens, Shawna
    Fogelson, Benjamin
    Goodwin, Rachel P.
    Baljepally, Gayathri K.
    Baljepally, Raj
    JOURNAL OF MEDICAL CASES, 2022, 13 (06) : 263 - 268
  • [10] Cryptococcal meningoencephalitis in an immunodeficiency virus positive patient coinfected with tuberculosis
    Wirantara, Hendy
    Rusli, Musofa
    Arfijanto, Muhammad Vitanata
    Bramantono
    BALI MEDICAL JOURNAL, 2023, 12 (02) : 1490 - 1496