title: Cryptococcal meningitis and confusional psychosis. A case report and literature review.
abstract: A previously healthy and immuno-competent 22-year-old man presented in confusional psychosis. Cryptococcal meningitis was later found to be the underlying cause as proven by culturing Cryptococcus neoformans serotype A from the cerebrospinal fluid. Combined antifungal therapy with amphotericin B and 5-fluorocytosine resulted in sustained improvement of all mental and physical functions. Cryptococcosis has rarely been reported from the Middle East. This represents the second case from Kuwait.
authors.affiliation: Medical Department, Islamic Hospital, Amman, Jordan.
authors.forename: M A
authors.initials: MA
authors.lastname: Sa'adah
authors.forename: G F
authors.initials: GF
authors.lastname: Araj
authors.forename: S M
authors.initials: SM
authors.lastname: Diab
authors.forename: M
authors.initials: M
authors.lastname: Nazzal
mesh_terms: D000328:Adult; D000666:Amphotericin B / Q000627:therapeutic use; D003221:Confusion / Q000188:drug therapy / Q000209:etiology*; D005437:Flucytosine / Q000627:therapeutic use; D006801:Humans; D008297:Male; D016919:Meningitis, Cryptococcal / Q000150:complications* / Q000188:drug therapy; D019965:Neurocognitive Disorders / Q000188:drug therapy / Q000209:etiology*
chemical_list: D000666:Amphotericin B; D005437:Flucytosine