[Simultaneous meningitis caused by Candida and tuberculosis as manifestation of AIDS].
Opportunistic germs meningoencephalitis plays an important role within neurologic pathology in aids. Treponema pallidum and Mycobacterium tuberculosis among bacteries, Cryptococcus neoformans in fungus group, Toxoplasma gondii in protozoos group and Papovavirus JC in virus one are the most frequently implicated germs. Sometimes infections are mixed. We present a simultaneous meningitis case produced by Candida albicans and Mycobacterium tuberculosis that coursed with neutrophilic pleocytosis in CSF and normal glucose CSF levels, consisting the clinical debut of aids. Repeated CSF examinations are the diagnostic clue owing, as in our case, instauration of early treatment. Present case of simultaneous tuberculous and candidiasic meningitis is the first one described in a HIV positive patient.
Arias Gómez
M
M
Servicios de Neurología, Hospital de Conxo, Departamento de Medicina, Complexo Hospitalario Universitario, Santiago de Compostela.
Requena Caballero
I
I
Lema Devesa
C
C
Suárez Dono
J
J
Llovo Martínez
J
J
Martino
V
V
D017088:AIDS-Related Opportunistic Infections / Q000150:complications / Q000382:microbiology*; D000163:Acquired Immunodeficiency Syndrome / Q000175:diagnosis*; D000328:Adult; D002177:Candidiasis / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D008297:Male; D008581:Meningitis / Q000150:complications* / Q000382:microbiology; D016921:Meningitis, Fungal / Q000150:complications / Q000175:diagnosis; D014390:Tuberculosis, Meningeal / Q000150:complications* / Q000175:diagnosis