Cryptococcal peritonitis complicating hepatic failure: case report and review of the literature.

Background: Cryptococcus neofornams is an encapsulated yeast that is an important cause of infection in patients with human immunodeficiency virus (HIV), lymphoid malignancies, and in those receiving corticosteroid therapy. The spectrum of diseases caused by C neoformans ranges from pulmonary infect...

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Publicado en:Journal of Applied Research Vol. 6; no. 1; pp. 43 - 51
Autores principales: Saif MW, Raj M
Formato: case study tables/charts Journal Article
Publicado: Therapeutic Solutions LLC 2006
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Therapeutic Solutions LLC
      place: Newtown, Pennsylvania
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        atl: Cryptococcal peritonitis complicating hepatic failure: case report and review of the literature.
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          Saif MW
          Raj M
        affil: Medical Oncology, Yale University School of Medicine, New Haven, Connecticut
      sug:
        subj:
          Cryptococcosis Drug Therapy
          Peritonitis Drug Therapy
          Connecticut
          Liver Failure
          Male
          Middle Age
          Time Factors
          Middle Aged: 45-64 years
          Male
      ab: Background: Cryptococcus neofornams is an encapsulated yeast that is an important cause of infection in patients with human immunodeficiency virus (HIV), lymphoid malignancies, and in those receiving corticosteroid therapy. The spectrum of diseases caused by C neoformans ranges from pulmonary infection to disseminated disease frequently involving the central nervous system, and occasionally skin and bone. Other extrapulmonary and extraneural sites of infection are less common. Cryplococcal peritonitis is all unusual entity, which is most often encountered in patients with end-stage renal disease undergoing ambulatory dialysis. Case Report: We present a case of cryptococcal peritonitis which developed in a patient with hepatitis C-related cirrhosis. As little is know about the relationship between cirrhosis and cryptococcosis, we further reviewed the literature of this unusual but life-threatening relationship. Discussion: Severe liver disease has not been fully recognized as a predisposing factor in the development of cryptococcal infection, particularly cryptococcal peritonitis, hut the scattered case reports in the medical literature and our case report augment the association between the advanced liver disease and cryptococcal peritonitis. Therefore, cryptococcal infection should be considered in the evaluation of these patients with possible peritonitis.
      pubtype: Academic Journal
      doctype:
        case study
        tables/charts
        Journal Article
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    language: English
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