Cryptococcal Meningitis in a HIV Seronegative Patient: A Rare Complication of Cerebrospinal Fluid Leak Detected with a New Cisternographic Technique
Clicks: 287
ID: 7976
2019
Immune deficiency is usually the underlying predisposing factor for cryptococcal meningitis, though there have been case reports of immunocompetent patients presenting with same. The portal of entry for Cryptococcus neoformans is the respiratory tract, and by hematogenous spread, it causes systemic symptoms. The presence of CSF leak is described to have predisposed our immunocompetent patient to infection by this organism possibly through direct spread. The gold standard for diagnosing CSF leak is by cisternography. In this case, we added a technique where nasal gauze is inserted during the procedure and scanned afterwards for dye, thus increasing the confidence of diagnosis of CSF leak through the nares. Prompt diagnosis and treatment is key to prevent adverse outcomes, and we propose that in patients with cryptococcal meningitis without any identifiable risk factor, evaluation for CSF leak should be considered especially with history of head trauma.
Reference Key |
chukwunonso2019cryptococcalcase
Use this key to autocite in the manuscript while using
SciMatic Manuscript Manager or Thesis Manager
|
---|---|
Authors | Chime, Chukwunonso;Ishak, Charbel;Kumar, Kishore;Kamal, Muhammad;Krishna, Srinivasan;Kelly, Paul;Chilimuri, Sridhar;Chime, Chukwunonso;Ishak, Charbel;Kumar, Kishore;Kamal, Muhammad;Krishna, Srinivasan;Kelly, Paul;Chilimuri, Sridhar; |
Journal | case reports in infectious diseases |
Year | 2019 |
DOI | 10.1155/2019/3510860 |
URL | |
Keywords | Keywords not found |
Citations
No citations found. To add a citation, contact the admin at info@scimatic.org
Comments
No comments yet. Be the first to comment on this article.