2013, Number S2
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Mediciego 2013; 19 (S2)
Cryptococcal Meningitis in inmunocompetent patient. A case presentation and review of the literature
Martínez RI, Moronta EA, Nordelo FY, Borrego AMA, Álvarez GSB
Language: Spanish
References: 17
Page:
PDF size: 174.13 Kb.
ABSTRACT
The Cryptococcus Meningoencephalitis is not very common in inmunocompetent people. The
fungal agent of this illness is found on the grounds, particularly in those fertilized with doves
excretion; the infection is acquired by fungal inhalation. This infection is lethal if the person does
not received specific treatment and death can occur at any time. It is important to do the spinal
puncture, which is an useful test in these cases; using a preparation with indian ink of the
sediment of the cerebrospinal fluid (CRF), with the aim of achieving an accurate diagnosis. In the
present year there have been reported 5 inmunocompetent patients with diagnosis of
Cryptococcus Meningoencefalitis in General Teaching Hospital “Roberto Rodríguez Fernández” of
Morón and therefore it was accomplished a case presentation of a patient with this entity, who
was hospitalized in the Intensive Care Unit of this hospital. To make a correct and deep
interrogation to the patients is of vital importance to diagnose this kind of disease. It must be
included the CRF study by the indian ink method in routine tests of patients with neurological
diseases to discard possible fungal etiologies.
REFERENCES
Jawetz E, Melnick JL, Adelberg EA. Microbiología Médica. 14ta ed. La Habana: Editorial Ciencias Médicas; 2006.
Llops V, Dapena Z. Microbiología y Parasitología Médicas. 1ra ed. La Habana: Editorial Ciencias Médicas; 2001.
Cedeño Arias, Rodríguez Forres NE. Criptococosis cerebral: una experiencia de trabajo VIH/SIDA. MEDISAN [Internet]. 2003; [citado 22 Nov 2012]; 7(1): [aprox. 6 p.]. Disponible en: http://bvs.sld.cu/revistas/san/vol7_1.htm
Roca Goderich R. Temas de Medicina Interna. 4ta ed. La Habana: Editorial Ciencias Médicas; 2002.
Teresa Illinait M, Valdés I, Fernández C, Mendoza D, Perurena M, Martínez G. Criptococosis: una alerta necesaria. Rev Cubana Med Trop. 2001; 53(3): 12-19.
Lobaina Delfino P, León Moreno AE. Meningoencefalitis crónica por Cryptococcus neoformans. MEDISAN [Internet]. 2004 [citado 14 Nov 2012]; 8(1): [aprox. 7 p.]. Disponible en: http://bvs.sld.cu/revistas/san/vol8_1_04/san10104.htm
Goldman L, Cecil AD. Tratado de Medicina Interna. 23ra ed. España: Editorial Eselvier SA; 2009.
Beers M, Porter R, Jones T, Berkwits M. El Manual Merck. 11na ed. La Habana: Editorial Ciencias Médicas; 2007.
Dromer F, Mathoulin PS, Launay O, Lortholary O. Determinants of Disease presentation and outcome during cryptococcosis: the Crypto A/D study. PLoS Med [Internet]. 2007 [citado 12 Oct 2012]; 4(2): [aprox. 21 p.]. Disponible en: http://preview.ncbi.nlm.nih.gov/pmc/articles/PMC1808080/?tool=pubmed
Harrison. Principios de Medicina Interna. [Internet]. 17 ed. New York: McGraw-Hill; 2010 [citado 8 Oct 2012]. Disponible en: http://www.harrisonmedicina.com/content.aspx?aid=3729665
Lindsley MD, Mekha N, Baggett HC, Surinthong Y, Autthateinchai R, et al. Evaluation of a newly developed lateral flow immunoassay for the diagnosis of cryptococcosis. Clin Infect Dis [Internet]. 2011 [citado 5 Nov 2012]; 53(4): [aprox. 5 p.]. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3148258/
García Consuegra JL, Novoa López AM. Criptococosis. Una amenaza para pacientes inmunodeprimidos. Gacet Méd Espirit [Internet]. 2011 [citado 8 Oct 2012]; 13(3): [aprox. 8 p.]. Disponible en: http://new.medigraphic.com/cgibin/ resumenMain.cgi?IDARTICULO=32508
Nodarse Hernández R, Bravo Pérez R. Aspectos clínicos y microbiológicos en un paciente inmunocompetente con criptococosis del sistema nervioso central. Rev Cubana Medic Militar. 1999; 28(1).
Novoa López AM, García Consuegra JL, Barrios Fajardo MM, Hernández Bernal E, Pérez Cogle AC. Criptococosis meníngea en anciana con sida. Presentación de caso. Gaceta Médica Espirituana. 2012; 14(1): 8-15.
Boyero Palenzuela E, Silveira García F, Valhuerdi Cepero A, Valls Figueroa CT, Casañola Rivero O. Vértigo y criptococosis. Presentación de un caso. Rev Méd Matanzas. [Internet]. 2006 [citado 18 Oct 2012]; 2(1): [aprox. 6 p.]. Disponible en: http://www.revmatanzas.sld.cu/revista%20medica/ano%202006/vol2%202006/tema09.htm
Pérez Estrada FA, Morales García JC, Rojas Borroto CA, Mato Hernández Y, Martínez Rodríguez I, Amores Sánchez D. Meningoencefalitis por Criptococo neoformans. Reporte de caso y revisión del tema. MediCiego [Internet]. 2012 [citado 18 Feb 2013]; 18(No. Esp.): [aprox. 6 p.]. Disponible en: http://www.bvs.sld.cu/revistas/mciego/vol_18noespc_2012/pdf/T49.pdf
Paneque Rodríguez I, Valdivia J, Aguiar Agramante A, Castillo Castillo I, Martínez Arroyo M, Delgado Almora E. Criptococosis en pacientes con trasplante renal. Rev Cubana Med Trop. 2007; 59(2):1-5.