Cryptococcus meningitis mimicking cerebral septic emboli, a case report series demonstrating injection drug use as a risk factor for development of disseminated disease.
Background: Clinicians may be less inclined to consider a diagnosis of cryptococcal meningitis in people without HIV infection or transplant-related immunosuppression. This may lead to a delay in diagnosis particularly if disseminated cryptococcal disease mimics cerebral septic emboli in injection d...
| Publicado en: | BMC Infectious Diseases Vol. 20; no. 1; pp. 1 - 6 |
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| Autores principales: | , , , |
| Formato: | case study Journal Article |
| Publicado: |
BioMed Central
5/27/2020
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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=143453773&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 143453773 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14712334 1CHU jtl: BMC Infectious Diseases issn: 14712334 maglogo: N pubinfo: dt: 5/27/2020 vid: 20 iid: 1 pid: 24147 pub: BioMed Central artinfo: ui: 143453773 143453773 NLM32460792 143453773 10.1186/s12879-020-05108-1 NLM32460792 143453773 ppf: 1 ppct: 5 formats: tig: atl: Cryptococcus meningitis mimicking cerebral septic emboli, a case report series demonstrating injection drug use as a risk factor for development of disseminated disease. aug: au: Polk, Christopher Meredith, Jacqueline Kuprenas, Alyssa Leonard, Michael affil: Atrium Health Department of Medicine, Charlotte, NC, USA sug: subj: Meningitis, Cryptococcal Diagnosis Intracranial Embolism Microbiology Substance Use Disorders Complications Intracranial Embolism Immunology Cryptococcus Middle Age Intracranial Embolism Diagnosis Meningitis, Cryptococcal Immunology Meningitis, Cryptococcal Microbiology Intracranial Embolism Etiology Male Risk Factors Meningitis, Cryptococcal Etiology Adult Study Design Middle Aged: 45-64 years Adult: 19-44 years Male ab: Background: Clinicians may be less inclined to consider a diagnosis of cryptococcal meningitis in people without HIV infection or transplant-related immunosuppression. This may lead to a delay in diagnosis particularly if disseminated cryptococcal disease mimics cerebral septic emboli in injection drug use (IDU) leading to a search for endocarditis or other infectious sources. Though, IDU has been described as a potential risk for disseminated cryptococcal disease.Case Presentations: We present two cases of cryptococcal meningitis in IDU without HIV or other obvious immune deficits. Both patients presented with at least 2 weeks of headache and blurred vision. They developed central nervous system (CNS) vasculitis, one of which mimicked septic cerebral emboli, but both resulted with poor neurologic outcomes.Conclusions: IDU likely induces an underappreciated immune deficit and is a risk factor for developing cryptococcal meningitis. This diagnosis, which can mimic cerebral septic emboli through involvement of a CNS vasculitis, should be considered in the setting of IDU. pubtype: Academic Journal doctype: case study Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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