A Case of Human Immunodeficiency Virus Infection Presenting as Cryptococcal Meningitis not Accompanied by Pleocytosis / 감염
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.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Physical Examination
/
Opportunistic Infections
/
HIV Infections
/
Cerebrospinal Fluid
/
Hematemesis
/
Blotting, Western
/
HIV
/
Meningitis, Cryptococcal
/
Cryptococcus neoformans
/
Diagnosis
Type of study:
Diagnostic study
Limits:
Humans
Country/Region as subject:
Asia
Language:
Korean
Journal:
Korean Journal of Infectious Diseases
Year:
1999
Type:
Article
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