Cryptococcal meningitis post-COVID-19 infection: Immunomodulation, a double-edged sword

被引:3
作者
Abdessamad, Hilal W. [1 ,2 ]
Achkar, Michel [2 ,3 ]
Al Zoghbi, Amal [2 ,4 ]
Fleifel, Mohamad [2 ,3 ]
Ousta, Abdul Rahman [2 ,5 ]
Kassar, Ahmad [2 ,5 ]
Samaha, Nadia L. [6 ]
Nemr, Rita [2 ,4 ]
Farra, Anna [1 ,2 ]
Mokhbat, Jacques E. [1 ,2 ]
Husni, Rola [1 ,2 ,7 ]
机构
[1] Lebanese Amer Univ, Sch Med, Infect Dis, Beirut, Lebanon
[2] Lebanese Amer Univ, Rizk Hosp, Med Ctr, Beirut, Lebanon
[3] Lebanese Amer Univ, Sch Med, Internal Med, Beirut, Lebanon
[4] Lebanese Amer Univ, Sch Med, Endocrinol, Beirut, Lebanon
[5] Lebanese Amer Univ, Sch Med, Beirut, Lebanon
[6] Georgetown Univ, Sch Med, Washington, DC USA
[7] Lebanese Amer Univ, Sch Med, Beirut, Lebanon
关键词
cryptococcus; meningitis; immunomodulation; COVID-19; ESCHERICHIA-COLI MENINGITIS; CENTRAL DIABETES-INSIPIDUS; COMPLICATION; HYPOPITUITARISM; NEOFORMANS;
D O I
10.3855/jidc.17170
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Cryptococcal meningitis is an opportunistic infection associated with altered immunity. Immunomodulatory agent use in severe coronavirus disease 2019 (COVID-19) may predispose such infections. Here, we present a 75-year-old male patient who presented with fever and altered general status after severe COVID-19 infection and developed cryptococcal meningitis. Opportunistic infection may arise from the use of immunomodulation in severe COVID-19, especially in the elderly population. This article describes the case and extensively reviews cryptococcal disease post-COVID-19 literature, highlighting the risk from immunosuppressive treatment.
引用
收藏
页码:623 / +
页数:10
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