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1.
Korean Journal of Infectious Diseases ; : 455-459, 1999.
Article in Korean | WPRIM | ID: wpr-136757

ABSTRACT

In Korea, cryptococcal meningitis is a rare opportunistic infection in patients with human immunodeficiency virus (HIV) infection. Cryptococcal meningitis in non-HIV infected patients is usually accompanied by cerebrospinal fluid (CSF) pleocytosis, but sometimes this is not the case in HIV-infected patients. As the number of patients with HIV infection increases in Korea, such atypical cryptococcal meningitis should be considered as a cause of fever of undetermined origin. In addition, if such a diagnosis is made, underlying AIDS should be ruled out. A 61-year old man was admitted to the hospital because of hematemesis. During hospitalization, he experienced fever and a mild continuous headache. Physical examination showed no neck stiffness. For the evaluation of persistent fever, CSF examination was performed, which showed elevated protein, decreased sugar, normal pressure, and no pleocytosis. Meningitis due to Cryptococcus neoformans was diagnosed by positive CSF india ink preparation and fungus culture. HIV infection was later confirmed by Western blot analysis.


Subject(s)
Humans , Middle Aged , Blotting, Western , Cerebrospinal Fluid , Cryptococcus neoformans , Diagnosis , Fever , Fungi , Headache , Hematemesis , HIV Infections , HIV , Hospitalization , India , Ink , Korea , Leukocytosis , Meningitis , Meningitis, Cryptococcal , Neck , Opportunistic Infections , Physical Examination
2.
Korean Journal of Infectious Diseases ; : 455-459, 1999.
Article in Korean | WPRIM | ID: wpr-136752

ABSTRACT

In Korea, cryptococcal meningitis is a rare opportunistic infection in patients with human immunodeficiency virus (HIV) infection. Cryptococcal meningitis in non-HIV infected patients is usually accompanied by cerebrospinal fluid (CSF) pleocytosis, but sometimes this is not the case in HIV-infected patients. As the number of patients with HIV infection increases in Korea, such atypical cryptococcal meningitis should be considered as a cause of fever of undetermined origin. In addition, if such a diagnosis is made, underlying AIDS should be ruled out. A 61-year old man was admitted to the hospital because of hematemesis. During hospitalization, he experienced fever and a mild continuous headache. Physical examination showed no neck stiffness. For the evaluation of persistent fever, CSF examination was performed, which showed elevated protein, decreased sugar, normal pressure, and no pleocytosis. Meningitis due to Cryptococcus neoformans was diagnosed by positive CSF india ink preparation and fungus culture. HIV infection was later confirmed by Western blot analysis.


Subject(s)
Humans , Middle Aged , Blotting, Western , Cerebrospinal Fluid , Cryptococcus neoformans , Diagnosis , Fever , Fungi , Headache , Hematemesis , HIV Infections , HIV , Hospitalization , India , Ink , Korea , Leukocytosis , Meningitis , Meningitis, Cryptococcal , Neck , Opportunistic Infections , Physical Examination
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