Cryptococcal meningitis and sarcoidosis.
This report describes a patient with cryptococcal meningitis and newly diagnosed sarcoidosis not taking corticosteroids. Sarcoidosis is an independent risk factor for cryptococcal infection; most patients with sarcoidosis who develop cryptococcal infection are not on immunosuppressive drugs. Cryptococcal meningitis in sarcoid patients often presents clinically with non-specific features, and should be excluded in patients with sarcoidosis and neurological disturbances.
Ross
John J
JJ
Division of Infectious Diseases, Neurology Service, Saint Elizabeth's Medical Center, Boston, 02135, USA. jrossmd@cchcs.org
Katz
Joshua D
JD
D000328:Adult; D001921:Brain / Q000382:microbiology; D003455:Cryptococcus neoformans / Q000302:isolation & purification; D005260:Female; D015725:Fluconazole / Q000494:pharmacology / Q000627:therapeutic use; D006801:Humans; D016919:Meningitis, Cryptococcal / Q000134:cerebrospinal fluid / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D011241:Prednisone / Q000494:pharmacology / Q000627:therapeutic use; D012507:Sarcoidosis / Q000134:cerebrospinal fluid / Q000150:complications* / Q000175:diagnosis; D016896:Treatment Outcome
D015725:Fluconazole; D011241:Prednisone