Disseminated Cryptococcosis in an HIV-Negative Patient With Liver Cirrhosis and Asplenia: A Rare but Dreadful Disease

被引:1
作者
Chippa, Venu Madhav [1 ]
Chenna, Swetha [2 ]
Gujarathi, Rahul [3 ]
Candula, Narsimha [3 ]
机构
[1] St Vincents Med Ctr, Internal Med, Evansville, IN 47714 USA
[2] Indiana Univ, Internal Med, Indianapolis, IN USA
[3] Univ Florida Hlth, Hosp Med, Jacksonville, FL USA
关键词
multiorgan system failure; hiv negative; asplenia; liver cirrhosis; disseminated cryptococcal infection; INFECTION; MENINGITIS;
D O I
10.7759/cureus.37243
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Cryptococcosis (cryptococcal infection) is a severe life-threatening fungal infection. It is seen worldwide, specifically in immunocompromised, mainly in human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS)-infected individuals. Cryptococcal infection can present with meningitis, pneumonia, peritonitis, disseminated cryptococcosis, and cryptococcal fungemia. Here, we report the case of an HIV -negative Caucasian male in his early 50s with liver cirrhosis and asplenia who presented to our hospital with bilateral foot cellulitis and pneumonia. He was eventually diagnosed with disseminated cryptococcosis. Even with appropriate treatment, he developed multiorgan failure and finally expired. The disseminated cryptococcal infection has a very high mortality rate in patients with liver cirrhosis and asplenia. Liver cirrhosis is an independent risk factor, and asplenia is a comorbid condition for cryptococcal infection in HIV-negative patients. Healthcare providers should have a high suspicion of cryptococcosis in these patients. Early testing with cryptococcal antigen assay and initiation of an appropriate antimicrobial regimen can help minimize bad outcomes.
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页数:6
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