title: Acute vision loss in post-partum period as presenting symptom of HIV-associated cryptococcal meningitis-an unusual case report.
abstract: Acute vision loss in the post-partum period can occur due to many reasons. Eclampsia, posterior reversible encephalopathy syndrome (PRES), pituitary apoplexy, and central serous retinopathy are some of the important causes. Cryptococcal meningitis as a cause of acute vision loss in the post-partum period has not been mentioned in literature.
  
  
  
  A 25-year-old female presented to us with acute bilateral complete vision loss in the post-partum period. Her serum was tested positive for HIV antibodies. Cerebrospinal fluid (CSF) examination revealed cryptococcal meningitis. She was started on amphotericin B, antiretroviral drugs, and steroids. Though symptoms of meningitis resolved after treatment no significant improvement in vision was observed at 3 months.
  
  
  
  Cryptococcal meningitis may be considered as one of the causes of acute vision loss in pregnant/post-partum females with human immunodeficiency virus (HIV) positivity.
authors.affiliation: Department of Neurology, King George Medical University, Lucknow, PIN-226003, Uttar Pradesh, India.
authors.forename: Aniruddha
authors.initials: A
authors.lastname: More
authors.affiliation: Department of Neurology, King George Medical University, Lucknow, PIN-226003, Uttar Pradesh, India. garg50@yahoo.com.
authors.forename: Ravindra Kumar
authors.initials: RK
authors.lastname: Garg
authors.affiliation: Department of Neurology, King George Medical University, Lucknow, PIN-226003, Uttar Pradesh, India.
authors.forename: Hardeep Singh
authors.initials: HS
authors.lastname: Malhotra
authors.affiliation: Department of Neurology, King George Medical University, Lucknow, PIN-226003, Uttar Pradesh, India.
authors.forename: Neeraj
authors.initials: N
authors.lastname: Kumar
authors.affiliation: Department of Neurology, King George Medical University, Lucknow, PIN-226003, Uttar Pradesh, India.
authors.forename: Ravi
authors.initials: R
authors.lastname: Uniyal
mesh_terms: D017088:AIDS-Related Opportunistic Infections / Q000188:drug therapy / Q000209:etiology*; D000208:Acute Disease; D000328:Adult; D000666:Amphotericin B / Q000627:therapeutic use; D001766:Blindness / Q000209:etiology* / Q000382:microbiology / Q000821:virology; D005260:Female; D015483:HIV Antibodies / Q000097:blood; D006679:HIV Seropositivity / Q000382:microbiology; D006801:Humans; D016919:Meningitis, Cryptococcal / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D049590:Postpartum Period; D011247:Pregnancy; D016896:Treatment Outcome
chemical_list: D015483:HIV Antibodies; D000666:Amphotericin B
keywords: Acquired immune deficiency syndrome; Human immunodeficiency virus; Meningitis; Optic nerve