Neuro-cryptococcosis in an immunocompetent individual with radiologically atypical findings: a case report and review of literature

We present a case of a 29-year-old immunocompetent female without any known comorbidities with intermittent headache and vomiting who was ultimately diagnosed with cryptococcal meningitis (CM). Though her neuroimaging findings were atypical to those commonly found in CM, she was diagnosed with CM wi...

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Detalles Bibliográficos
Autores principales: Regmi, Binit U, Pathak, Bishnu D, Subedi, Ram C, Dhakal, Bishal, Sapkota, Suhail, Joshi, Sushil, Poudel, Ujjawal, Poudel, Raju
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10041956/
https://www.ncbi.nlm.nih.gov/pubmed/36993829
http://dx.doi.org/10.1093/omcr/omad016
Descripción
Sumario:We present a case of a 29-year-old immunocompetent female without any known comorbidities with intermittent headache and vomiting who was ultimately diagnosed with cryptococcal meningitis (CM). Though her neuroimaging findings were atypical to those commonly found in CM, she was diagnosed with CM with a cryptococcal antigen test. However, in contrast to the good prognosis as stated in the literature, she died during her course stay at the hospital. Therefore, cryptococcosis should be taken as differentials, even in an immunocompetent individual presenting with features suggestive of meningitis, to prevent the worst clinical outcome.