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Rev. méd. Panamá ; 21(1/2): 46-50, Jan.-May 1996.
Article in Spanish | LILACS | ID: lil-409925

ABSTRACT

The authors studied the clinical histories of 17 patients with AIDS who were hospitalized with the diagnosis of Meningoencephalitis. Laboratory studies showed the causative agent to be Cryptococcus neoformans. All patients had fever and most had localized headache. Some patients had nausea and vomiting, nuchal rigidity and convulsions. One each had blurred vision, photophobia, periods of disorientation, ataxia, lumbar or cervical pain. Cell count, chemical analysis, India ink preparation and culture of the cerebrospinal fluid confirmed the diagnosis and the etiologic agent. Blood cultures were negative in the few patients on whom it was performed. The best results of therapy were obtained in the patients who received Amphotericin B and Fluocytosine (80%) in dosages of 0.3 to 1 mg/k/day and 150 mg/day respectively, for 21 days


Subject(s)
Humans , Male , Female , Adolescent , Adult , Middle Aged , Cryptococcus neoformans , AIDS-Related Opportunistic Infections/microbiology , Meningitis, Cryptococcal/microbiology , Antifungal Agents , Amphotericin B/therapeutic use , Fluconazole/therapeutic use , Fluorouracil/therapeutic use , AIDS-Related Opportunistic Infections/drug therapy , Meningitis, Cryptococcal/drug therapy
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