title: Neuroinvasive cryptococcosis in an immunocompetent patient with a negative spinal fluid cryptococcus antigen.
abstract: 58-year-old man presented with headache, nausea, vomiting, and gait disturbance. Brain MRI showed meningeal enhancement and herniation. Serum Cryptococcus antigen was positive but spinal fluid antigen and cultures were negative. A cerebellar biopsy revealed nonencapsulated Cryptococcus. He completed antifungal therapy. Serum Cryptococcus antigen titer decreased. He had a full neurological recovery.
authors.affiliation: Department of Neurology, Mount Sinai Beth Israel, New York, NY 10003, USA.
authors.forename: Rocio C
authors.initials: RC
authors.lastname: Garcia-Santibanez
authors.affiliation: Department of Infectious Diseases, Mount Sinai Beth Israel, New York, NY 10003, USA.
authors.forename: Veenu
authors.initials: V
authors.lastname: Gill
authors.affiliation: Department of Infectious Diseases, Mount Sinai Beth Israel, New York, NY 10003, USA.
authors.forename: Stanley
authors.initials: S
authors.lastname: Yancovitz
authors.affiliation: Department of Neurology, Mount Sinai Beth Israel, New York, NY 10003, USA.
authors.forename: DeWitt
authors.initials: D
authors.lastname: Pyburn