[Cryptococcosis in renal transplant recipients].

Autor: Paneque Rodríguez I; Centro De Investigaciones Médico Quirúrgicas, Ciudad de La Habana. ipaneque@cimeq.sld.cu, Valdivia J, Aguiar Agramante A, Castillo Castillo I, Martínez Arroyo M, Delgado Almora E
Jazyk: Spanish; Castilian
Zdroj: Revista cubana de medicina tropical [Rev Cubana Med Trop] 2007 May-Aug; Vol. 59 (2), pp. 169-72.
Abstrakt: This article presented the case of a 64 years-old renal transplant recipient, who was a poultry farm worker and had suffered meningoencephalitis six months after receiving immunosuppressive therapy. Rapid diagnosis was based on a cerebrospinal fluid sample analyzed with latex particles for Cryptococcus spp antigen detection. Culture of the clinical sample in agar-Sabouraund-chloramphenicol medium confirmed the initial diagnosis whereas biochemical identification was made with the API 20C AUX system. Amphotericin B treatment was immediately applied to the patient and later fluconazole until microbiological tests yielded negative results. After 5 months, the patient relapsed and restarted the specific treatment. He was followed up on outpatient service and two year after the organ transplantation, his recovery was favourable.
Databáze: MEDLINE