[Cryptococcal meningitis in a patient without known predisposing disease].
Cryptococcal meningitis is a rare disease. It may occur as a superinfection in AIDS patients or other immunosuppressed patients. We describe a case of cryptococcal meningitis in a non-immunosuppressed patient. Initial symptoms were fatigue, depression and headache. A correct diagnosis was made after two weeks based on microscopic examination of cerebrospinal fluid. The patient died after six days on antimycotic therapy. Cryptococcosis is a difficult diagnosis, as our case illustrates. Psychiatric symptoms are often the first clinical manifestations. Early diagnosis is crucial for the outcome. A short overview on cryptococcosis is given.
Christensen
A
A
Mikrobiologisk avdeling, Buskerud sentralsykehus, Drammen.
Eikenaes
E
E
D003937:Diagnosis, Differential; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007165:Immunosuppression Therapy; D016919:Meningitis, Cryptococcal / Q000175:diagnosis / Q000188:drug therapy / Q000276:immunology; D008875:Middle Aged