Cryptococcal meningitis manifesting as a large abdominal cyst in a HIV-infected patient with a CD4 count greater than 400 cells/mm(3).
Cryptococcal meningitis usually occurs among HIV-positive patients with CD4 counts less than 100 cells/mm(3) and manifests as headaches, fevers, and mental status changes. We present an unusual case of cryptococcal meningitis in a 34-year-old HIV-positive man presenting as a large abdominal cyst at the ventriculoperitoneal shunt site despite receiving highly active antiretroviral therapy (HAART) for more than 5 years and having a CD4 count more than 400 cells/mm(3).
Crum-Cianflone
Nancy
N
Infectious Disease Clinic, Naval Medical Center, San Diego, California 92134-1005, USA. nancy.crum@med.navy.mil
Truett
April
A
R Wallace
Mark
M
D017088:AIDS-Related Opportunistic Infections / Q000276:immunology / Q000382:microbiology / Q000473:pathology*; D000005:Abdomen; D000328:Adult; D023241:Antiretroviral Therapy, Highly Active; D018791:CD4 Lymphocyte Count; D003455:Cryptococcus neoformans / Q000472:pathogenicity*; D003560:Cysts / Q000473:pathology*; D015658:HIV Infections / Q000150:complications / Q000188:drug therapy; D006801:Humans; D008297:Male; D016919:Meningitis, Cryptococcal / Q000276:immunology / Q000382:microbiology / Q000473:pathology*; D017287:Ventriculoperitoneal Shunt