title: Fatal Case of Polymicrobial Meningitis Caused by Cryptococcus liquefaciens and Mycobacterium tuberculosis Complex in a Human Immunodeficiency Virus-Infected Patient.
abstract: We describe a fatal case of polymicrobial meningitis in a human immunodeficiency virus-infected patient from Guatemala caused by Cryptococcus liquefaciens and Mycobacterium tuberculosis complex. Central nervous system infections caused concurrently by these species are extremely rare. This is also the first report of disseminated disease caused by C. liquefaciens.
authors.affiliation: Department of Clinical Laboratory, Hospital General San Juan de Dios, Guatemala City, Guatemala cesarcondepereira@gmail.com.
authors.forename: César
authors.initials: C
authors.lastname: Conde-Pereira
authors.affiliation: Department of Infectology, Hospital General San Juan de Dios, Guatemala City, Guatemala.
authors.forename: Lia
authors.initials: L
authors.lastname: Rodas-Rodríguez
authors.affiliation: Department of Clinical Laboratory, Hospital General San Juan de Dios, Guatemala City, Guatemala.
authors.forename: Manuel
authors.initials: M
authors.lastname: Díaz-Paz
authors.affiliation: Department of Infectology, Hospital General San Juan de Dios, Guatemala City, Guatemala.
authors.forename: Hilda
authors.initials: H
authors.lastname: Palacios-Rivera
authors.affiliation: Molecular Mycology Research Laboratory, Centre for Infectious Diseases and Microbiology, Sydney Medical School-Westmead Hospital, Marie Bashir Institute of Infectious Disease and Biosecurity, The University of Sydney, Westmead Millennium Institute, Westmead, Australia.
authors.forename: Carolina
authors.initials: C
authors.lastname: Firacative
authors.affiliation: Molecular Mycology Research Laboratory, Centre for Infectious Diseases and Microbiology, Sydney Medical School-Westmead Hospital, Marie Bashir Institute of Infectious Disease and Biosecurity, The University of Sydney, Westmead Millennium Institute, Westmead, Australia.
authors.forename: Wieland
authors.initials: W
authors.lastname: Meyer
authors.affiliation: Department of Clinical Laboratory, Hospital General San Juan de Dios, Guatemala City, Guatemala.
authors.forename: Myriam
authors.initials: M
authors.lastname: Alcázar-Castillo
mesh_terms: D000328:Adult; D016000:Cluster Analysis; D060085:Coinfection / Q000175:diagnosis* / Q000473:pathology; D003454:Cryptococcus / Q000302:isolation & purification*; D004271:DNA, Fungal / Q000737:chemistry / Q000235:genetics; D021903:DNA, Ribosomal Spacer / Q000737:chemistry / Q000235:genetics; D017809:Fatal Outcome; D005260:Female; D006166:Guatemala; D015658:HIV Infections / Q000150:complications*; D006801:Humans; D016919:Meningitis, Cryptococcal / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D008969:Molecular Sequence Data; D009169:Mycobacterium tuberculosis / Q000302:isolation & purification*; D010802:Phylogeny; D017422:Sequence Analysis, DNA; D014390:Tuberculosis, Meningeal / Q000150:complications / Q000175:diagnosis* / Q000473:pathology
chemical_list: D004271:DNA, Fungal; D021903:DNA, Ribosomal Spacer