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26 October 2017 : Case report  China (mainland)

Asymptomatic Meningitis and Lung Cavity in a Case of Cryptococcosis

Challenging differential diagnosis, Rare coexistence of disease or pathology

Aixin Li1B, Qunhui Li1A, Caiping Guo1F, Yulin Zhang1DE*

DOI: 10.12659/AJCR.905905

Am J Case Rep 2017; 18:1140-1144

Abstract

BACKGROUND: Cryptococcus neoformans (C. neoformans) infection is one of the most common opportunistic infections in AIDS patients. C. neoformans usually infects the central nervous system (CNS) and/or lungs with typical clinical manifestation.

CASE REPORT: Here, we report the case of a 52-year-old HIV-1-infected man with disseminated cryptococcosis, including subacute meningitis, pulmonary, and cutaneous cryptococcosis, but only skin lesion served as the chief complaint. Moreover, the results of cerebrospinal fluid (CSF) tests and lung computed tomography (CT) scan were atypical.

CONCLUSIONS: We present the clinical characteristics of this case and discuss the diagnostic procedure, which will likely help clinicians in making a timely definitive diagnosis of this disease.

Keywords: case reports, Cryptococcosis, Cryptococcus neoformans

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923