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Fatal cryptococcal meningitis in a non-HIV patient
Author(s) -
Pushpa Yadav,
Manodeep Sen,
Janamejai Kumar Srivastava,
Anupam Das,
Tanushri Chatterji
Publication year - 2022
Publication title -
international journal of health sciences (ijhs) (en línea)
Language(s) - English
Resource type - Journals
eISSN - 2550-6978
pISSN - 2550-696X
DOI - 10.53730/ijhs.v6ns1.6010
Subject(s) - cryptococcus neoformans , cryptococcus , cryptococcosis , fluconazole , medicine , cryptococcal meningitis , meningitis , human immunodeficiency virus (hiv) , immunology , immune system , antifungal , pediatrics , biology , dermatology , microbiology and biotechnology , viral disease
Cryptococcal infections (Cryptococcosis) are fatal fungal infections typically caused by Cryptococcus neoformans, a saprophyte frequently found in soil contaminated with  pigeon droppings and frequently seen in immunocompromised (specifically HIV Positive) individuals. Now a day’s awareness is emerging on cryptococcal disease among non-immunocompromised patients also. We present a case of Cryptococcus meningitis (CM) in a patient with cardiopulmonary arrest. A 55 year old male patient came with history of headache and fever with neck rigidity since last 3 months. The patient was admitted as a case of CM based on clinical findings and radiological features. Investigations were done to rule out other disorders of the immune system. He was treated with Amphotericine B (IV) and Fluconazole orally for 2 weeks. Culture of CSF was done which showed presence of Cryptococcus neoformans. It is concluded from the findings that Cryptococcus may also affect non-HIV patients regardless to their immune system.

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