Urdanivia CMO, Reyes RID, Barletta CJE

Language: Spanish
References: 10
Page: 801-804
PDF size: 100.21 Kb.

ABSTRACT

Cryptococcosis, a mycotic infection, had a sporadic presentation worldwide, but in the last two decades there has been an increase in the incidence of AIDS-related opportunistic infection, even considering it as the most frequent fungal meningitis in these patients. It is a deep mycosis, of a sub acute or chronic course, considered as opportunistic. For such reasons a case of a 32 year old, black patient is presented, with antecedents of bronchial asthma, smoker from 21 years before, alcoholic from 17 years and hypertensive (three years of evolution) without regular treatment. Four days before admission he started with headache, he was unconscious and Sphincter relaxation. He came to the emergency room of the "Gustavo Aldereguía Lima" Hospital where he was found to have stiff neck and his BP was de 200/120 mm Hg. His BP was lowered and the patient improved his clinical picture. On questioning he was found to have a disordered life style, without stable partner, on physical examination it was observed oral candidiasis and herpes simple in the lower lip. A rapid test for IDS was realized which resulted positive. He was admitted and microbiological studies of cerebrospinal fluid with Chinese ink staining that showed capsulated levaduriform cells, sign of Cryptococcus meningoencephalitis.

REFERENCES

1. Marchena Rodríguez L, Fernández Ortega CM, García García B. Manifestaciones orales en los pacientes con VIH­ SIDA. REDOE. 2015;3:1-5

2. Hernández Requejo D, Pérez Ávila J, Can Pérez A. Enfermedades oportunistas en pacientes VIH/sida con debut de sida que reciben tratamiento antirretroviral. Rev Cubana Invest Bioméd [revista en Internet]. 2015 [citado 24 Jun 2016];34(3):[aprox. 10p]. Disponible en: http://bvs.sld.cu/revistas/ibi/vol34_3_15/ibi06315.htm

3. Paneque Rodríguez I, Valdivia J, Castillo Castillo I, Martínez Arroyo M, Delgado Almora E. Criptococosis en pacientes con trasplante renal. Rev Cubana Med Trop [revista en Internet]. 2007 [citado 24 Jun 2016];59(2):[aprox. 6p]. Disponible en: http://bvs.sld.cu/revistas/mtr/vol59_2_07/mtr15207.htm

4. Sánchez Giler S, Zambrano Castro D, Martínez GF, Fernández Andreu CM, Illnait-Zaragozí MT. Neurocriptococosis en el contexto de la infección con el VIH en Guayaquil Ecuador. Rev Cubana Med Trop [revista en Internet]. 2016 [citado 24 Jun 2016];68(1):[aprox. 15p]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0375-07602016000100002

5. Martínez Machín G, Barrial de la Rosa L, Illnait Zaragozí M, Valdés Hernánde IC, Fernández Andreu CM, Perurena MR, et al. Utilidad de la D-prolina en la diferenciación de las variedades de Cryptococcus neoformans. Rev Cubana Med Trop. 2004;56(1):77-9

6. Tello M, Gutiérrez E, Béjar V, Galarza C, Ramos W, Ortega AG. Criptococosis. Rev Méd Risaralda. 2013;19(2):147-53

7. Nodarse Hernández R, Bravo Pérez R. Aspectos clínicos y microbiológicos en un paciente inmunocompetente con criptococosis del sistema nervioso central. Rev Cub Med Mil. 1999;28(1):23-7

8. Ministerio de Sanidad, Servicios Sociales e Igualdad. Guía de recomendaciones para el diagnóstico precoz del VIH en el ámbito sanitario [Internet]. Madrid: CPAGE; 2014 [citado 23 Jun 2016]. Disponible en: http://publicacionesoficiales.boe.es

9. Paz Rodríguez MT. Neurocriptococosis crónica en un paciente inmunocompetente. Presentación de caso. Rev Ciencias Médicas [revista en Internet]. 2014 [citado 23 Jun 2016];18(6):[aprox. 8p]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1561-31942014000600020

10. Hierro González A, Hano García OM, González Fabián L. Virus de la inmunodeficiencia humana-sida en pacientes diagnosticados con herpes zoster en Gabón, África. Rev Cubana Med Trop [revista en Internet]. 2013 [citado 23 Jun 2016];65(1):[aprox. 11p]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0375-07602013000100005