Fatal cryptococcal meningitis in a HIV‐seronegative patient with liver cirrhosis
Radheshyam, K. C. and Karkey, Abhilasha and Prajapati, Krishna Govinda and Baker, Stephen and Basnyat, Buddha,, 1, e001982 (2014),
doi = https://doi.org/10.1099/jmmcr.0.001982,
publicationName = Microbiology Society,
issn = ,
abstract= Introduction: A 41‐year‐old man with a history of alcoholic cirrhosis presented to Patan Hospital in Kathmandu, Nepal, with a severe headache. Case presentation: Clinical examination found an isolated sixth nerve palsy of the left side with normal blood parameters and a normal brain scan. An initial cerebrospinal fluid analysis found lymphocytosis, with a significantly elevated protein level and reduced glucose. Tubercular meningitis was considered; however, the patient did not improve and a re‐examination of the cerebrospinal fluid confirmed cryptococcal meningitis. Conclusion: After diagnosis the patient was treated with amphotericin B. Despite all efforts the patient died 5 days later. ,
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