Fungus Before the Fire: Cryptococcal Meningitis Reveals Underlying Follicular Lymphoma.

This article focuses on a case of cryptococcal meningitis (CM) in a non-HIV patient who was subsequently diagnosed with asymptomatic low-grade follicular lymphoma, highlighting the association between CM and underlying hematologic malignancies. CM, primarily caused by Cryptococcus neoformans, typica...

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Bibliographic Details
Published in:Annals of Indian Academy of Neurology Vol. 29; no. 4; pp. 649 - 652
Main Authors: Dixit, Yatharth, Goel, Abeer, Chatterjee, Debajyoti, Mahesh, Karthik Vinay
Format: case study diagnostic images letter pictorial Journal Article
Published: Wolters Kluwer India Pvt Ltd Jul/Aug2026
Online Access:View this record in EBSCOhost
Description
Summary:This article focuses on a case of cryptococcal meningitis (CM) in a non-HIV patient who was subsequently diagnosed with asymptomatic low-grade follicular lymphoma, highlighting the association between CM and underlying hematologic malignancies. CM, primarily caused by Cryptococcus neoformans, typically affects immunocompromised individuals, including those with HIV, malignancies, or immunosuppressive conditions. The patient, a 72-year-old woman with multiple comorbidities, presented with neurological symptoms and was found to have CM; further investigation revealed leukopenia and generalized lymphadenopathy, leading to the diagnosis of follicular lymphoma. The report emphasizes the importance of screening for occult malignancies in older patients presenting with CM, as hematologic cancers can impair immunity before clinical manifestation, influencing treatment and prognosis.