Cryptococcus neoformans peritonitis in a patient with alcoholic cirrhosis: case report and review of the literature.

In the absence of coexisting HIV infection Cryptococcus neoformans is rarely considered in the differential diagnosis of peritonitis that occurs in patients with cirrhosis and ascites. Here, we report on a 39-year-old male, HIV-negative patient with decompensated alcohol toxic liver cirrhosis who de...

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Publicado en:Infection Vol. 33; no. 4; pp. 282 - 289
Autores principales: Albert-Braun S, Venema F, Bausch J, Hunfield K, Schäfer V
Formato: case study review tables/charts Journal Article
Publicado: Springer Nature Aug2005
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Cryptococcus neoformans peritonitis in a patient with alcoholic cirrhosis: case report and review of the literature.
      aug:
        au:
          Albert-Braun S
          Venema F
          Bausch J
          Hunfield K
          Schäfer V
        affil: Klinikum Aschaffenburg, Central Laboratory, Am Hasenkopf 1, 63739 Aschaffenburg, Germany; Sabine.albert@klinikum-aschaffenburg.de
      sug:
        subj:
          Cryptococcosis Etiology
          Cryptococcosis Pathology
          Cryptococcus
          Liver Cirrhosis, Alcoholic Complications
          Peritonitis Etiology
          Peritonitis Pathology
          Adult
          Death
          Male
          Adult: 19-44 years
          Male
      ab: In the absence of coexisting HIV infection Cryptococcus neoformans is rarely considered in the differential diagnosis of peritonitis that occurs in patients with cirrhosis and ascites. Here, we report on a 39-year-old male, HIV-negative patient with decompensated alcohol toxic liver cirrhosis who developed a lethal intraperitoneal infection with C. neoformans. We reviewed the literature and found an additional 19 cases with culture confirmed cryptococcal peritonitis in combination with liver disease or AIDS. We suggest that awareness of this unusual but lethal entity may lead to earlier diagnosis and proper treatment.
      pubtype: Academic Journal
      doctype:
        case study
        review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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