Cryptococcal meningitis initially presenting with eye symptoms in an immunocompetent patient: A case report.

Abstract:

:Although cryptococcal meningitis (CM) typically occurs in immunocompromised hosts, immunocompetent humans are susceptible to CM. In humans with an intact immune system, CM presents with signs and symptoms typical of meningitis, including fever, headache and neck stiffness. The present study reported the case of a female immunocompetent patient who presented visual blurring in both eyes and bilateral papilledema for ~1 month. Following hospital admission, the patient was diagnosed with optic nerve inflammation and was treated with intravenous methylprednisolone and oral prednisone. However, the initial symptoms failed to improve and the patient developed a headache. The microscopic examination and India ink test performed using the cerebrospinal fluid of the patient showed the presence of Cryptococcus neoformans. Following combined treatment with amphotericin B and fluconazole, the patient made a full recovery with total resolution of the initial symptoms. This case demonstrates that CM in immunocompetent patients may initially include eye symptoms, which may result in a delayed diagnosis of CM.

journal_name

Exp Ther Med

authors

Li J,Wang P,Ye L,Wang Y,Zhang X,Yu S

doi

10.3892/etm.2016.3440

subject

Has Abstract

pub_date

2016-08-01 00:00:00

pages

1119-1124

issue

2

eissn

1792-0981

issn

1792-1015

pii

ETM-0-0-3440

journal_volume

12

pub_type

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