First HIV Diagnosis in a Patient with Cryptococcus Neoformans Meningitis : A Case Report.

Cryptococcal meningitis is a life-threatening infection in HIV-positive patients. It usually presents with symptoms of lethargy, personality changes, memory disorders and cognitive decline. Fever is a common symptom, while specific meningeal signs such as headache, neck stiffness, and photophobia ap...

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Published in:International Journal of Caring Sciences Vol. 16; no. 2; pp. 1055 - 1059
Main Authors: Magounaki, Kalliopi, Karpidaki, Konstantina, Anastasopoulos, Vasileios, Kyriazis, Ioannis
Format: case study Journal Article
Published: International Journal of Caring Sciences May-Aug2023
Online Access:View this record in EBSCOhost
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      dt: May-Aug2023
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      pub: International Journal of Caring Sciences
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        atl: First HIV Diagnosis in a Patient with Cryptococcus Neoformans Meningitis : A Case Report.
      aug:
        au:
          Magounaki, Kalliopi
          Karpidaki, Konstantina
          Anastasopoulos, Vasileios
          Kyriazis, Ioannis
        affil: Internal Medicine Department, KAT General Hospital, Athens, Greece
      sug:
        subj:
          Meningitis, Cryptococcal Complications
          HIV Infections Diagnosis
          Adult
          Male
          Greece
          CD4 Lymphocyte Count
          Treatment Outcomes
          Memory Disorders
          Adult: 19-44 years
          Male
      ab: Cryptococcal meningitis is a life-threatening infection in HIV-positive patients. It usually presents with symptoms of lethargy, personality changes, memory disorders and cognitive decline. Fever is a common symptom, while specific meningeal signs such as headache, neck stiffness, and photophobia appear in 25 to 33% of patients. However, these symptoms are non-specific and unreliable in advanced HIV infection where the inflammatory response is impaired. Treatment in HIV-infected patients includes a combination of appropriate antifungal therapy, medical interventions aiming at the reduction of elevated intracranial pressure, and initiation of antiretroviral therapy at the appropriate time to avoid immune reconstitution syndrome (IRIS). We present a case of a patient diagnosed with cryptococcal meningitis and newly diagnosed HIV infection in the Department of Internal Medicine at KAT General Hospital.
      pubtype: Academic Journal
      doctype:
        case study
        Journal Article
      ougenre: Article
    language: English
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