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Cryptococcus gattii meningoencephalitis in an HIV-negative patient from the Peruvian Andes / Meningoencefalite causada por Cryptococcus gattii em um paciente HIV-negativo procedente dos Andes Peruanos
Gutierrez, Ericson L; Valqui, Willi; Vilchez, Luis; Evangelista, Lourdes; Crispin, Sarita; Tello, Mercedes; Ñavincopa, Marcos; Béjar, Vilma; Gonzáles, José; Ortega-Loayza, Alex G.
  • Gutierrez, Ericson L; National University of San Marcos. Institute of Clinical Research. Lima. PE
  • Valqui, Willi; National University of San Marcos. Institute of Clinical Research. Lima. PE
  • Vilchez, Luis; Dos de Mayo National Hospital. Department of Medicine. Lima. PE
  • Evangelista, Lourdes; National University of San Marcos. School of Medicine. Lima. PE
  • Crispin, Sarita; National University of San Marcos. School of Medicine. Lima. PE
  • Tello, Mercedes; National University of San Marcos. Institute of Clinical Research. Lima. PE
  • Ñavincopa, Marcos; Virginia Commonwealth University. Department of Internal Medicine. Richmond. US
  • Béjar, Vilma; National University of San Marcos. Institute of Tropical Medicine. Lima. PE
  • Gonzáles, José; National University of San Marcos. School of Medicine. Lima. PE
  • Ortega-Loayza, Alex G; Virginia Commonwealth University. Department of Internal Medicine. Richmond. US
Rev. Soc. Bras. Med. Trop ; 43(4): 469-471, jul.-ago. 2010. ilus
Article in English | LILACS | ID: lil-556021
ABSTRACT
We report a case of an immunocompetent Peruvian patient from the Andes with a one-month history of meningoencephalitis. Cryptococcus gattii was identified from a cerebrospinal fluid culture through assimilation of D-proline and D-tryptophan as the single nitrogen source. Initially, the patient received intravenous antifungal therapy with amphotericin B. The patient was discharged 29 days after hospitalization and continued with oral fluconazole treatment for ten weeks. During this period, the patient showed clinical improvement with slight right-side residual weakness. Through this case report, we confirm the existence of this microorganism as an infectious agent in Peru.
RESUMO
Nós reportamos o caso de um paciente peruano immunocompetente proveniente dos Andes com história de um mês com meningoencefalite. Foi identificado o Cryptococcus gattii na cultura de liquido cerebrospinal através da assimilação de D-prolina e D-tryptofano como fonte única de nitrogênio. Inicialmente, o paciente recebeu tratamento antifúngico intravenoso com amfotericina B. O paciente foi liberado 29 dias depois da hospitalização, seguindo tratamento oral durante 10 semanas com fluconazol. Durante este período, o paciente apresentou melhoria clinica e uma leve fraqueza residual direita. Com o reporte do caso, nós confirmamos a existência desse microorganismo como agente infeccioso em nosso país.
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Full text: Available Index: LILACS (Americas) Main subject: Cryptococcosis / Cryptococcus gattii / Meningoencephalitis Type of study: Prognostic study Limits: Humans / Male Country/Region as subject: South America / Peru Language: English Journal: Rev. Soc. Bras. Med. Trop Journal subject: Tropical Medicine Year: 2010 Type: Article Affiliation country: Peru / United States Institution/Affiliation country: Dos de Mayo National Hospital/PE / National University of San Marcos/PE / Virginia Commonwealth University/US

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Full text: Available Index: LILACS (Americas) Main subject: Cryptococcosis / Cryptococcus gattii / Meningoencephalitis Type of study: Prognostic study Limits: Humans / Male Country/Region as subject: South America / Peru Language: English Journal: Rev. Soc. Bras. Med. Trop Journal subject: Tropical Medicine Year: 2010 Type: Article Affiliation country: Peru / United States Institution/Affiliation country: Dos de Mayo National Hospital/PE / National University of San Marcos/PE / Virginia Commonwealth University/US