Severe brain co-infection by cryptococcus neoformans and mycobacterium tuberculosis as a consequence of a non-bacillary lung tuberculosis.

An exceptionally rare case of concurrent central nervous system infection by clyptococcus neoformans and mycobacterium tuberculosis in a 25-year-old otherwise healthy Chinese student who very recently joined Italian post-doctoral courses is described, together with diagnostic and therapeutic difficu...

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Published in:Archivos de Neurociencias Vol. 14; no. 3; pp. 192 - 196
Main Authors: Manfredi, Roberto, Calza, Leonardo
Format: Case Study
Published: Instituto Nacional de Neurologia y Neurocirugia, Departamento de Publicaciones Cientificas jul-sep2009
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Online Access:View this record in EBSCOhost
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      dt: jul-sep2009
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      pub: Instituto Nacional de Neurologia y Neurocirugia, Departamento de Publicaciones Cientificas
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        atl: Severe brain co-infection by cryptococcus neoformans and mycobacterium tuberculosis as a consequence of a non-bacillary lung tuberculosis.
      aug:
        au:
          Manfredi, Roberto
          Calza, Leonardo
        affil:
          Associate Professor of Infectious Diseases, University of Bologna, c/o Infectious Diseases, S. Orsola Hospital, Via Massarenti 11 - 1-40138 Bologna, Italy
          University of Bologna
      su:
        Brain diseases
        Tuberculosis complications
        Infection
        Cryptococcus neoformans
      sug:
        subj:
          Brain diseases
          Tuberculosis complications
          Infection
          Cryptococcus neoformans
      keyword:
        Brain co-infection
        China
        cryptococcosis
        Otherwise healthy young girl
        tuberculosis
        doble cryptococcosis y tuberculosis en sima joven China
        infección cerebral
      ab:
        An exceptionally rare case of concurrent central nervous system infection by clyptococcus neoformans and mycobacterium tuberculosis in a 25-year-old otherwise healthy Chinese student who very recently joined Italian post-doctoral courses is described, together with diagnostic and therapeutic difficulties encountered in a six-month-long hospitalization period, when only transient and/or negligible immune system impairments were detected. A non-bacillary pulmonary tuberculosis probably preceded and prompted both brain complications. This episode of very infrequent concurrent infections, should enforce the need of maintaining an elevated clinical suspicion for opportunistic infections and tuberculosis, even in absence of an obvious immunodeficiency, and related epidemiological clues.
        Un caso exepcionalmente raro de una infección por cryptococcus neoformans y mycobacterium tuberculosis en un hombre de 25 años, estudiante chino sano que recientemente se había incorporado a un curso postdoctoral. Se describen las dificultades para el diagnóstico y la terapéutica en un periodo de hospitalización de seis meses durante la cual sólo se encontraron ligeros cambios en su sistema inmunológico. Una tuberculosis pulmonar no bacilar quizás precedio las complicaciones. Este episodio de infección poco frecuente acentua la necesidad de mantener la sospecha de infecciones oportunistas y tuberculosis en ausencia de inmunodeficiencia o datos epidemiológicos.
      pubtype: Academic Journal
      doctype: Case Study
      src: R
    language: English
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      custom: Copyright of Archivos de Neurociencias is the property of Instituto Nacional de Neurologia y Neurocirugia, Departamento de Publicaciones Cientificas and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use.
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      holder: Instituto Nacional de Neurologia y Neurocirugia, Departamento de Publicaciones Cientificas
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