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  1. Home /
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  3. Vol 48 No 2 (2017) /
  4. Case Report

Cryptococcal cerebellitis in no-VIH patient

  • Abstract
  • Keywords
  • Author Biographies
  • References

Abstract

Introduction: Cryptococcosis is an opportunistic fungal infection whose etiology is Cryptococcus neofromans / C. gattii, complex which affects immunocompromised patients mainly. Meningeal infection is one of the most common presentations, but cerebellar affection is rare.

Case Description: Male patient with 65 old years, from an area of subtropical climate with chronic exposure to poultry, without pathological antecedents, who presented clinical picture consistent with headache, fever, seizures and altered mental status.

Clinical findings and diagnostic methods: Initially without menigeal signs or intracranial hypertension and normal neurological examination. Later, the patient developed ataxia, dysdiadochokinesia and limb loss. By lumbar punction and image of nuclear magnetic resonance (NMR) cerebellitis cryptococcal was diagnosticated.

Treatment:  Antifungal therapy with amphotericin B and fluconazole was performed, however the patient died.

Clinical Relevance:  The cryptococcosis has different presentations, it´s a disease whose incidence has been increasing since the advent of the HIV / AIDS pandemy, however the commitment of the encephalic parenchyma and in particular the cerebellum is considered rare. In this way we are facing the first case of cryptococcal cerebellitis in our midst.

Authors

  • Fabricio Andres Lasso Universidad del Cauca. Cauca, Colombia
  • Tomas Omar Zamora Bastidas Universidad del Cauca. Cauca, Colombia
  • Jorge Andrés Potosí García Universidad del Cauca. Cauca, Colombia
  • Bairon Díaz Idrobo Universidad del Cauca. Cauca, Colombia

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Keywords

  • Cerebellar diseases
  • cryptococcal
  • meningitis
  • Cryptococcus
  • adult
  • age
  • Immunocompetence
  • Cryptococcosis
  • Cryptococcus neofromans

Author Biographies


, Universidad del Cauca. Cauca, Colombia
Facultad de Medicina, Universidad del Cauca. Cauca, Colombia

, Universidad del Cauca. Cauca, Colombia
Medicina Interna. Facultad de Medicina. Universidad del Cauca. Cauca, Colombia

, Universidad del Cauca. Cauca, Colombia
Facultad de Medicina, Universidad del Cauca. Cauca, Colombia

, Universidad del Cauca. Cauca, Colombia
Facultad de Medicina, Universidad del Cauca. Cauca, Colombia

References

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Published
2017-06-28
Submitted
2016-04-03
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How to Cite
Lasso, F., Zamora Bastidas, T., Potosí García, J., & Díaz Idrobo, B. (2017). Cryptococcal cerebellitis in no-VIH patient. Colombia Médica, 48(2), 94-97. https://doi.org/10.25100/cm.v48i2.2289
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Vol 48 No 2 (2017)
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