| Autor: |
Mylonakis E; Department of Medicine, Miriam Hospital, Brown University School of Medicine, Providence, RI 02906, USA., Merriman NA, Rich JD, Flanigan TP, Walters BC, Tashima KT, Mileno MD, van der Horst CM |
| Jazyk: |
angličtina |
| Zdroj: |
Diagnostic microbiology and infectious disease [Diagn Microbiol Infect Dis] 1999 Jun; Vol. 34 (2), pp. 111-4. |
| DOI: |
10.1016/s0732-8893(99)00025-5 |
| Abstrakt: |
Persistently elevated intracranial pressure (ICP) is one of the most accurate predictors of a poor prognosis in patients with AIDS-related cryptococcal meningitis. We present a severe case of persistent cryptococcal meningitis in a patient with advanced AIDS, complicated by elevation of ICP. A ventriculoperitoneal shunt was placed that successfully lowered the ICP and alleviated the associated symptoms. The elevated ICP secondary to AIDS-related cryptococcal meningitis should be treated aggressively. Despite the risk of shunt complications, cerebrospinal fluid shunts can be considered in these patients if they do not respond to other treatment. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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