Central nervous system Cryptococcoma mimicking demyelinating disease: a case report.

Background: Cerebral cryptococcomas is a rare form of central nervous system cryptococcosis. Most previous cases were mistaken for neoplasm before surgery. We present a case of cerebral cryptococcomas whose radiological profiles resembled demyelinating disease, especially tumefactive demyelinating l...

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Publicado en:BMC Neurology Vol. 20; no. 1; pp. 1 - 5
Autores principales: Wei, Jie, Li, Xiang-Yu, Zhang, Yue
Formato: case study Journal Article
Publicado: BioMed Central 8/12/2020
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 8/12/2020
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      pub: BioMed Central
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        atl: Central nervous system Cryptococcoma mimicking demyelinating disease: a case report.
      aug:
        au:
          Wei, Jie
          Li, Xiang-Yu
          Zhang, Yue
        affil: Department of neurology, 905th hospital of PLA Navy, No 1328 Huashan Road, Changning District, 200052, Shanghai, China
      sug:
        subj:
          Central Nervous System Bacterial Infections Diagnosis
          Cryptococcosis Diagnosis
          Demyelinating Diseases Diagnosis
          Diagnosis, Differential
          Antigens, Fungal Cerebrospinal Fluid
          Neuroradiography
          Magnetic Resonance Imaging
          Cryptococcosis Cerebrospinal Fluid
          Cryptococcus
          Central Nervous System Bacterial Infections Cerebrospinal Fluid
          Male
          Adult
          Adult: 19-44 years
          Male
      ab: Background: Cerebral cryptococcomas is a rare form of central nervous system cryptococcosis. Most previous cases were mistaken for neoplasm before surgery. We present a case of cerebral cryptococcomas whose radiological profiles resembled demyelinating disease, especially tumefactive demyelinating lesion.Case Presentation: A 40-year-old male was admitted for 1-week-long unconsciousness. Brain MRI revealed a rim-enhanced mass within the corpus callosum body. Central nervous system demyelinating disease was suspected. Empirical corticosteroid treatment led to some improvement, but his condition deteriorated 2 months later. Brain MRI revealed punctate new foci. Cryptococcus neoformans was detected in cerebrospinal fluid. Cryptococcus antigen test was positive in his current and previous cerebrospinal fluid samples. The patient died despite standard antifungal treatment.Conclusion: Diagnosis of cerebral cryptococcomas is challenging. It may mimic demyelinating diseases.
      pubtype: Academic Journal
      doctype:
        case study
        Journal Article
      ougenre: Article
    language: English
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