Cryptococcal meningitis presenting as pseudosubarachnoid hemorrhage.

Abstract:

:A 50-year-old man presented with progressive visual loss, headache, and two days of confusion. A computed tomography of his head suggested subarachnoid hemorrhage with accompanying right parietal ischemic infarction. The magnetic resonance image was consistent with right parietal perisulcal pial and superficial cortical inflammation; a subjacent vasogenic edema with a 1 cm diameter abscess was also present. Funduscopy revealed bilateral multifocal choroidal lesions and retinal perivascular sheathing. He was diagnosed with pseudosubarachnoid hemorrhage secondary to cryptococcal meningitis and choroidal microabscesses with retinal inflammation after a cerebrospinal fluid (CSF) examination revealed cryptococcal yeast forms, as well as high titers of CSF cryptococcal antigen, but no CSF red blood cells.

journal_name

South Med J

journal_title

Southern medical journal

authors

Hoque R,Gonzalez-Toledo E,Jaffe SL

doi

10.1097/SMJ.0b013e318183468a

subject

Has Abstract

pub_date

2008-12-01 00:00:00

pages

1255-7

issue

12

eissn

0038-4348

issn

1541-8243

journal_volume

101

pub_type

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