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2013, Number 10

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MediSan 2013; 17 (10)

Lethal meningoencephalitis due to cryptococcosis in a middle-age woman

Gámez RO, Romero CD, Bizet AO
Full text How to cite this article

Language: Spanish
References: 10
Page: 7030-7036
PDF size: 334.20 Kb.


Key words:

woman, meningoencephalitis, Cryptococcus neoformans, systemic cryptococcosis, AIDS.

ABSTRACT

The case report of a 55 year-old patient is described, with apparent good health up to 6 months before death who began to present chronic migraine which did not improve with treatment, personality disorders, confusion, cranial neuropathy, papilloedema and deep coma, without response to antifungal treatment. Keeping in mind the results of cerebrospinal liquid examination, a meningoencephalitis due to Cryptococcus was diagnosed; likewise the pathological study corroborated the existence of systemic cryptococcosis and AIDS.


REFERENCES

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  2. Braunwald E. Afecciones neurológicas. En: Harrison: Principios de medicina interna. 17 ed. México D,F: McGraw-Hill Interamericana; 2008.

  3. Satishchandra P, Mathew T, Gadre G. Cryptococcal meningitis: clinical, diagnostic and therapeutic overviews. Neurology India. 2007; 55(3):226-32.

  4. Gómez Arias B, Zarco Montero LA. Criptococosis meníngea: Características clínicas y de laboratorio. Acta Neurol Colomb. 2011; 27(1):19-2.

  5. Jairo L, Melva L, Catalina B. Estudio clínico y epidemiológico de la criptococosis en Colombia: resultado de nueve años de la encuesta nacional, 1997 – 2005. Biomédica. 2007; 27:94-109.

  6. Saag M, Graybill RJ, Larsen RA, Pappas PG, Perfect JR, Powderly WG, et al. Practice guidelines for the management of cryptococcal disease. Clin Infect Dis. 2000; 30: 710-8.

  7. John RP, William ED, Francoise D. Clinical Practice Guidelines for the Management of Cryptoccocal Disease: 2010 Update by the infectious diseases society of america. Clinical Infectious Diseases. 2010; 50: 291- 322.

  8. Silvia DP, Nora CC. Criptococosis en pacientes con SIDA: manifestaciones cutáneas y sistémicas, diagnóstico y terapéutica. Rev CES Med. 2008; 22:79- 88.

  9. Podzamczer D, Arribas JR, Mallolas J, Peña JM, Pulido F. Recomendaciones del Grupo de Estudio del Sida. Enferm Infecc Microbiol Clin. 2001; 19: 376-92.

  10. Lobaina P, León A. Meningoencefalitis crónica por criptococcus neoformans. MEDISAN. 2004 [citado 22 Ene 2013]; 8 (1):54-57. Disponible en: http://www.bvs.sld.cu/revistas/san/vol8_n1_04/san10104.pdf




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MediSan. 2013;17