[Bacterial meningitis in HIV patient: think about co-infections!].
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%.
Nadaud
J
J
Département d'anesthésie-réanimation-urgences, hôpital d'instruction des Armées-Legouest, avenue de Plantières, BP 10, 57998 Metz-Armées, France.
Villevieille
T
T
Boulland
P
P
Allanic
L
L
Plancade
D
D
Steiner
T
T
Favier
J-C
JC
Rüttimann
M
M
Puyhardy
J-M
JM
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*