CRYPTOCOCCAL meningitis in a HIV negative newly diagnosed diabetic patient: a CASE report.
Background: This case report emphasizes the need to recognize cryptococcus as a possible cause of meningitis in non-HIV patients in Sub-Saharan Africa and to highlight the possibility of grave outcomes due to the paradoxical immune response in diabetic patients with cryptococcus meningitis. It also...
| Publicado en: | BMC Infectious Diseases Vol. 19; no. 1 |
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| Autores principales: | , |
| Formato: | case study tables/charts Journal Article |
| Publicado: |
BioMed Central
1/3/2019
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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=133871062&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 133871062 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14712334 1CHU jtl: BMC Infectious Diseases issn: 14712334 maglogo: N pubinfo: dt: 1/3/2019 vid: 19 iid: 1 pid: 24147 pub: BioMed Central artinfo: ui: 133871062 133871062 NLM30606110 133871062 10.1186/s12879-018-3625-4 NLM30606110 133871062 ppct: 1 formats: tig: atl: CRYPTOCOCCAL meningitis in a HIV negative newly diagnosed diabetic patient: a CASE report. aug: au: Owuor, Odhiambo Henry Chege, Patrick affil: School of Medicine, Department of Family Medicine, Moi University, P. O. Box, 3900-30100, Eldoret, Kenya sug: subj: Meningitis, Cryptococcal Diagnosis Meningitis, Cryptococcal Drug Therapy Fluconazole Therapeutic Use Antifungal Agents Therapeutic Use Diabetes Mellitus Microbiology HIV Seronegativity Meningitis, Cryptococcal Etiology Cryptococcus Adult Female Adult: 19-44 years Female ab: Background: This case report emphasizes the need to recognize cryptococcus as a possible cause of meningitis in non-HIV patients in Sub-Saharan Africa and to highlight the possibility of grave outcomes due to the paradoxical immune response in diabetic patients with cryptococcus meningitis. It also highlights the need for widespread availability of amphotericin-B and flucytosine in hospitals in Sub-Saharan Africa.Case Presentation: A 27 year old African lady was admitted with generalized tonic clonic seizures lasting 5 to 10 min. These seizures were preceded by severe frontal headaches radiating to the occiput and neck and associated with chills, photophobia and loss of consciousness. She was tachycardic and had tongue bites on the lateral aspects of her tongue. Kernig's and Brudzinski's signs were positive. India ink was positive on two cerebrospinal fluid (CSF) samples. She had hyperglycemia and glucosuria as well. She was diagnosed with cryptococcal meningitis in diabetes and had a remarkable response to fluconazole monotherapy. She went home on maintenance dose of fluconazole having made full recovery. and is currently on prophylactic doses of fluconazole.Conclusions: With the rising prevalence of diabetes in Sub-Saharan Africa, coupled with the low levels of adequate glucose control, cryptococcal meningitis should be considered in the differential diagnosis for diabetic patients presenting with chronic headache, fever and neurologic deficits. pubtype: Academic Journal doctype: case study tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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