Cryptococcal Meningitis in a HIV Seronegative Patient: A Rare Complication of Cerebrospinal Fluid Leak Detected with a New Cisternographic Technique
Joint Authors
Chilimuri, Sridhar
Chime, Chukwunonso
Kumar, Kishore
Kamal, Muhammad Umar
Ishak, Charbel
Krishna, Srinivasan
Kelly, Paul
Source
Case Reports in Infectious Diseases
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-02-20
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
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.
American Psychological Association (APA)
Chime, Chukwunonso& Ishak, Charbel& Kumar, Kishore& Kamal, Muhammad Umar& Krishna, Srinivasan& Kelly, Paul…[et al.]. 2019. Cryptococcal Meningitis in a HIV Seronegative Patient: A Rare Complication of Cerebrospinal Fluid Leak Detected with a New Cisternographic Technique. Case Reports in Infectious Diseases،Vol. 2019, no. 2019, pp.1-5.
https://search.emarefa.net/detail/BIM-1136970
Modern Language Association (MLA)
Chime, Chukwunonso…[et al.]. Cryptococcal Meningitis in a HIV Seronegative Patient: A Rare Complication of Cerebrospinal Fluid Leak Detected with a New Cisternographic Technique. Case Reports in Infectious Diseases No. 2019 (2019), pp.1-5.
https://search.emarefa.net/detail/BIM-1136970
American Medical Association (AMA)
Chime, Chukwunonso& Ishak, Charbel& Kumar, Kishore& Kamal, Muhammad Umar& Krishna, Srinivasan& Kelly, Paul…[et al.]. Cryptococcal Meningitis in a HIV Seronegative Patient: A Rare Complication of Cerebrospinal Fluid Leak Detected with a New Cisternographic Technique. Case Reports in Infectious Diseases. 2019. Vol. 2019, no. 2019, pp.1-5.
https://search.emarefa.net/detail/BIM-1136970
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1136970