Evaluation of cryptococcus laurentii meningitis in a patient with HIV infection: a case report and review of the literature.
Cryptococcus neoformans is the most common cryptococci causing infection in humans. Non-neoformans cryptococci have generally been regarded as saprophytes and rarely reported as human pathogens. We report a probable case of Cryptococcus laurentii meningitis in a HIV-infected patient and reviewed the literature on risk factors and treatment of this infection in humans. This patient was successfully treated with amphotericin B followed by fluconazole. Awareness of the emerging antifungal-resistant C. laurentii strains, as reported in the literature, should be emphasized, especially in immunocompromised patients.
Khawcharoenporn
Thana
T
Department of Medicine, John A. Burns School of Medicine, University of Hawaii, 1356 Lusitana Street, 7th Fl, Honolulu, HI 96813, USA. thanak30@yahoo.com
Apisarnthanarak
Anucha
A
Kiratisin
Pattarachai
P
Mundy
Linda M
LM
Bailey
Thomas C
TC
D017088:AIDS-Related Opportunistic Infections; D000328:Adult; D003454:Cryptococcus / Q000302:isolation & purification*; D015658:HIV Infections / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D008297:Male; D016919:Meningitis, Cryptococcal / Q000175:diagnosis* / Q000209:etiology