title: [Bacterial meningitis in HIV patient: think about co-infections!].
abstract: The authors report the case of an African 34-year-old patient who was admitted to the intensive care unit for bacterial meningitis due to Streptococcus pneumoniae. A meningeal co-infection due to Cryptococcal neoformans was found the 3rd day in an HIV infection context. Cryptococcus neoformans detection in cerebrospinal fluid, using the India-ink stain, has a low sensibility which imposes the search of cryptococcal antigen and the culture of cerebrospinal fluid. These last two exams have a sensibility of at least 90%.
authors.affiliation: Département d'anesthésie-réanimation-urgences, hôpital d'instruction des Armées-Legouest, avenue de Plantières, BP 10, 57998 Metz-Armées, France.
authors.forename: J
authors.initials: J
authors.lastname: Nadaud
authors.forename: T
authors.initials: T
authors.lastname: Villevieille
authors.forename: P
authors.initials: P
authors.lastname: Boulland
authors.forename: L
authors.initials: L
authors.lastname: Allanic
authors.forename: D
authors.initials: D
authors.lastname: Plancade
authors.forename: T
authors.initials: T
authors.lastname: Steiner
authors.forename: J-C
authors.initials: JC
authors.lastname: Favier
authors.forename: M
authors.initials: M
authors.lastname: Rüttimann
authors.forename: J-M
authors.initials: JM
authors.lastname: Puyhardy
mesh_terms: D000328:Adult; D002555:Cerebrospinal Fluid / Q000382:microbiology; D015658:HIV Infections / Q000150:complications*; D006801:Humans; D008297:Male; D016919:Meningitis, Cryptococcal / Q000821:virology*; D008586:Meningitis, Pneumococcal / Q000821:virology*