Cryptococcus myelitis: atypical presentation of a common infection.
Cryptococcus neoformans is associated with as much as 45% of meningitis in patients admitted for hospital care in Zimbabwe, and it is an important opportunistic infection in patients infected with the human immunodeficiency virus. Cases of cryptococcosis presenting as a spinal cord syndrome have been reported from Zimbabwe and South Africa, but these were all cases of Cryptococcus vertebral osteomyelitis. We describe 3 unusual patients who presented with a myelitis-like syndrome without vertebral osteomyelitis.
Department of Medicine, University of Zimbabwe Medical School, Harare, Zimbabwe. hutachiona@netscape.net
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Gumbo
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Hakim
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Mielke
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Siwji
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Just-Nübling
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Ismail
D017088:AIDS-Related Opportunistic Infections / Q000188:drug therapy / Q000503:physiopathology*; D000328:Adult; D003453:Cryptococcosis / Q000188:drug therapy / Q000503:physiopathology*; D003455:Cryptococcus neoformans; D005260:Female; D006801:Humans; D008297:Male; D009187:Myelitis / Q000188:drug therapy / Q000503:physiopathology*; D013577:Syndrome