2016, Number 3
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Dermatología Cosmética, Médica y Quirúrgica 2016; 14 (3)
Neurocryptococcosis: Demographic, Clinical and Paraclinical Characteristics in a Case Series Study
Ancona-Castro C, Barrón-Hernández YL, Arenas R, Ortiz-Olmedo A
Language: Spanish
References: 11
Page: 199-203
PDF size: 166.41 Kb.
ABSTRACT
Background: cryptococcosis is a severe opportunistic infection
caused by Cryptococcus species complex, with one million cases
and 625 000 deaths per year worldwide among patients with
HIV/AIDS. Determines high morbidity and mortality, mainly to
systemic and meningeal involvement in immunocompromised
patients.
Materials and methods: we report demographic, clinical,
laboratory and image characteristics obtained by analysis of
clinical files in a case series of neuro-cryptococcosis diagnosed
by cerebrospinal fluid culture between 2012 and 2014 at a general
hospital.
Results: seven cases of meningeal cryptococcosis were found,
six of the patients were men, all had risk factors for immunosuppression,
in six of them AIDS and one diabetes mellitus. The
predominant clinical manifestations were altered mental status,
headache and fever. In imaging studies nonspecific abnormalities
were detected in six cases.
Conclusions: cryptococcosis of the central nervous system
is a frequent opportunistic infection in immunosuppressed patients,
so it is important to know the clinical features of this
infection in our population.
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