A 28 Years Old Woman with Severe Headache and Few Episodes of Vomiting: A Case Report
| Autor: | Tasnim Eghbal Eftekhaari, Hossein Montazerghaem, Seyyed Hamid Moosavy, Abdoul Hossain Madani |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
Cryptococcus neoformans
medicine.medical_specialty Severe headache Pediatrics biology business.industry High index Human immunodeficiency virus (HIV) virus diseases Emergency department medicine.disease_cause medicine.disease biology.organism_classification Surgery Infectious Diseases Cryptococcosis medicine Vomiting medicine.symptom business Fluconazole medicine.drug |
| Zdroj: | American Journal of Infectious Diseases. 6:107-109 |
| ISSN: | 1553-6203 |
| DOI: | 10.3844/ajidsp.2010.107.109 |
| Popis: | Problem statement: Cryptococcosis neoformans is commonest central nervous system infection in individuals infected with HIV. Most of the patients infected with Cryptococcus neoformans present with headache and visual changes. Approach: A 28 year old woman presented to Emergency Department (ED) with a chief complaint of headache, fever and vomiting and developed seizures during the first hour of admission. Firstly, diagnosed as cryptococcal meningitis, then, because of having a low White Blood Cell count (WBC) and low Total Lymphocyte Count (TLC) she was checked for HIV Ab and P24 Ag. Results: A diagnosis of HIV was made then her family members were checked for HIV and they were also HIV positive. Patient was discharged with a two month course of Fluconazole and after completion of antifungal treatment, Antiretroviral Treatment (HAART) was started. Conclusion: This case indicated that Cryptococcosis neoformans may develop in Immune-deficient patients, so complete laboratory workup and high index of suspicion to HIV should be under diagnosis. |
| Databáze: | OpenAIRE |
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