Cryptococcoma of the brain in an immunocompetent man.
Cryptococcosis is a common opportunistic systemic disease in immunocompromised patients. Pulmonary or brain cryptococcosis is the most common clinical presentation. Immunocompetent patients can also be affected, especially in tropical and subtropical zones where the life cycle of the causal agent, Cryptococcus gattii, is completed. We present a previously healthy man with progressive intracranial hypertension and a right paraventricular mass on CT scan and MRI. Cryptococcus gattii yeasts were isolated from the cerebrospinal fluid. A ventriculoperitoneal shunt was placed and the patient was treated with amphotericin B, fluconazole and dexamethasone. The patient died due to severe intracranial hypertension.
Instituto Nacional de Neurología y Neurocirugía Manuel Velasco Suárez, Insurgentes Sur 3877, Tlalpan CP. 14269, México, D.F., México - Department of Infectious Diseases.
Y Ugalde
YU
Hernández
Instituto Nacional de Neurología y Neurocirugía Manuel Velasco Suárez, Insurgentes Sur 3877, Tlalpan CP. 14269, México, D.F., México - Department of Infectious Diseases.
J F
JF
Monzón
Instituto Nacional de Neurología y Neurocirugía Manuel Velasco Suárez, Insurgentes Sur 3877, Tlalpan CP. 14269, México, D.F., México - Department of Neuroradiology.
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Delgado-Hernández
Instituto Nacional de Neurología y Neurocirugía Manuel Velasco Suárez, Insurgentes Sur 3877, Tlalpan CP. 14269, México, D.F., México - Department of Infectious Diseases.
J L
JL
Soto-Hernández
Instituto Nacional de Neurología y Neurocirugía Manuel Velasco Suárez, Insurgentes Sur 3877, Tlalpan CP. 14269, México, D.F., México - Department of Infectious Diseases.
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Cárdenas
D000328:Adult; D056285:Cryptococcus gattii; D017809:Fatal Outcome; D006801:Humans; D007121:Immunocompetence; D019586:Intracranial Hypertension / Q000382:microbiology* / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008297:Male; D016919:Meningitis, Cryptococcal / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D014057:Tomography, X-Ray Computed; D017287:Ventriculoperitoneal Shunt