Cryptococcus gattii infection causing fulminant intracranial hypertension.
Cryptococcus neoformans variety gattii (C. gattii) causes infection in predominantly immunocompetent individuals. The majority of cases present with headache due to meningitis and its natural history normally follows an indolent course. We report a fatal case of fulminant cryptococcaemia culminating...
| Publicado en: | BJA: The British Journal of Anaesthesia Vol. 99; no. 4; pp. 528 - 532 |
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| Autores principales: | , |
| Formato: | case study Journal Article |
| Publicado: |
Elsevier B.V.
Sep2007
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104747004&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104747004 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00070912 1FZ jtl: BJA: The British Journal of Anaesthesia issn: 00070912 maglogo: N pubinfo: dt: Sep2007 vid: 99 iid: 4 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 104747004 104747004 NLM17656353 2011105159 NLM17656353 104747004 ppf: 528 ppct: 4 formats: tig: atl: Cryptococcus gattii infection causing fulminant intracranial hypertension. aug: au: Bromilow, J Corcoran, T affil: Intensive Care Unit, Royal Perth Hospital, Wellington St Campus, Perth 6011, Western Australia. brom@doctors.org.uk sug: subj: Intracranial Hypertension Microbiology Meningitis, Cryptococcal Complications Fatal Outcome Intracranial Hypertension Radiography Male Meningitis, Cryptococcal Radiography Middle Age Tomography, X-Ray Computed Middle Aged: 45-64 years Male ab: Cryptococcus neoformans variety gattii (C. gattii) causes infection in predominantly immunocompetent individuals. The majority of cases present with headache due to meningitis and its natural history normally follows an indolent course. We report a fatal case of fulminant cryptococcaemia culminating in severe intracranial hypertension due to C. gattii. Such cases of fulminant disease are rare and highlight a number of important therapeutic and diagnostic considerations. We discuss the atypical nature of this patient's illness, the major complications of C. gattii meningitis and the role of computed tomography (CT) in preventing serious sequelae from lumbar puncture. The management of intracranial hypertension (ICH) in critically ill patients is also reviewed. pubtype: Academic Journal doctype: case study Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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