title: [A case of AIDS with intractable cryptococcal meningitis].
abstract: A 38-year-old hemophiliac, who had been infected with HIV by the administration of blood products and had been diagnosed as AIDS by the onset of Pneumocystis carinii pneumonia, was admitted to our hospital with the complaints of headache and vomiting. After he was diagnosed as cryptococcal meningitis using the microscopy, cryptococcal antigen detection and culture of cerebrospinal fluid, treatment with amphotericin-B and fluconazole was started. As there was no clinical improvement, spinal drainage was performed and acetazolamide administered in order to reduce the intracranial pressure. Treatment was changed from AMPH-B and FLCZ to a combined therapy of AMPH-B and itraconazole. As his clinical features showed improvement, he was discharged home on a maintenance dose of ITCZ and acetazolamide after having been hospitalized for three months. This case-report may be of use in the management of cryptococcal meningitis in patients with AIDS.
authors.affiliation: Second Department of Internal Medicine, Nara Medical University.
authors.forename: M
authors.initials: M
authors.lastname: Konishi
authors.forename: T
authors.initials: T
authors.lastname: Migita
authors.forename: K
authors.initials: K
authors.lastname: Mori
authors.forename: N
authors.initials: N
authors.lastname: Imae
authors.forename: T
authors.initials: T
authors.lastname: Yamanaka
authors.forename: K
authors.initials: K
authors.lastname: Maeda
authors.forename: K
authors.initials: K
authors.lastname: Mikasa
authors.forename: M
authors.initials: M
authors.lastname: Sawaki
authors.forename: A
authors.initials: A
authors.lastname: Yoshioka
authors.forename: R
authors.initials: R
authors.lastname: Sano
authors.forename: T
authors.initials: T
authors.lastname: Masutani
authors.forename: N
authors.initials: N
authors.lastname: Narita
mesh_terms: D017088:AIDS-Related Opportunistic Infections / Q000628:therapy*; D000086:Acetazolamide / Q000627:therapeutic use; D000284:Administration, Oral; D000328:Adult; D000666:Amphotericin B / Q000008:administration & dosage; D000935:Antifungal Agents / Q000008:administration & dosage; D002257:Carbonic Anhydrase Inhibitors / Q000627:therapeutic use; D004322:Drainage; D006801:Humans; D017964:Itraconazole / Q000008:administration & dosage; D008297:Male; D016919:Meningitis, Cryptococcal / Q000628:therapy*
chemical_list: D000935:Antifungal Agents; D002257:Carbonic Anhydrase Inhibitors; D017964:Itraconazole; D000666:Amphotericin B; D000086:Acetazolamide