Unexpected case of cryptococcal meningoencephalitis in a patient with long-standing well-controlled HIV infection

被引:2
作者
Yoon, Hyun Ah [1 ]
Riska, Paul F.
Jain, Ruchika
Morales, Cariane
Pirofski, Liise-anne
机构
[1] Albert Einstein Coll Med, Dept Med, Div Infect Dis, Bronx, NY 10467 USA
来源
MEDICAL MYCOLOGY CASE REPORTS | 2021年 / 32卷
关键词
Cryptococcal meningoencephalitis; Cryptococcosis; HIV infection; Inflammatory response; Host immunity;
D O I
10.1016/j.mmcr.2021.01.003
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
Cryptococcal meningoencephalitis (CM) classically occurs in individuals with advanced HIV infection, solid organ transplants, or other immunocompromising conditions. We report a case of fatal CM in a 78-year-old woman with well-controlled HIV infection who had delayed diagnosis, persistently elevated intracranial pressure and pleocytosis of the cerebrospinal fluid. Initial suspicion for CM was low due to her relatively high CD4(+) T cell counts, which likely contributed to greater inflammation.
引用
收藏
页码:14 / 16
页数:3
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