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Among 472 patients with human immunodeficiency virus-associated cryptococcal meningitis, 16% had severe visual loss at presentation, and 46% of these were 4-week survivors and remained severely impaired. Baseline cerebrospinal fluid opening pressure ≥40 cmH 2 O (adjusted odds ratio [aOR], 2.56; 95% confidence interval [CI], 1.36–4.83;  P  = .02) and fungal burden >6.0 log 10  colonies/mL (aOR, 3.01; 95% CI, 1.58–5.7;  P  = .003) were independently associated with severe visual loss.

open forum infectious diseases

Fungal Burden and Raised Intracranial Pressure Are Independently Associated With Visual Loss in Human Immunodeficiency Virus-Associated Cryptococcal Meningitis