Cryptococcal Meningitis

نویسندگان

  • Claudia Fabrizio
  • Sergio Carbonara
  • Gioacchino Angarano
چکیده

Virulence probably plays a relatively small role in the outcome of this infection: the crucial factor is the immune status of the host. The most serious infections usually develop, in fact, in patients with defective cell-mediated immunity, for example those with AIDS, organ transplantation, reticuloendothelial malignancy, corticosteroid treatment and sarcoidosis, but not in subjects with neutropenia or immunoglobulin deficiency. Cryptococcosis has shown an increasing incidence over the last decades, mainly because of the AIDS pandemic, and still represents a major life-threatening fungal infection in these patients.

برای دانلود رایگان متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Pitfalls Associated With the Use of Molecular Diagnostic Panels in the Diagnosis of Cryptococcal Meningitis

We report the case of a kidney transplantation patient on chronic immunosuppressive therapy presenting with subacute meningitis. The final diagnosis of cryptococcal meningitis was delayed due to 2 false-negative cryptococcal results on a molecular diagnostic panel. Caution with such platforms in suspected cryptococcal meningitis is needed.

متن کامل

Interleukin-17 mediated differences in the pathogenesis of HIV-1-associated tuberculous and cryptococcal meningitis

OBJECTIVE Mycobacterium tuberculosis and Cryptococcus neoformans are major causes of meningitis in HIV-1-infected patients. Identifying differences in the inflammatory profiles of HIV-1-associated tuberculous meningitis (TBM) and cryptococcal meningitis may inform differences in immunopathogenic mechanisms in these diseases. In this study we compared the clinical and inflammatory features of HI...

متن کامل

Cryptococcal meningitis in an immunocompetent patient: a case report and review of the literatures

Cryptococcal meningitis is an opportunistic infection in immunosuppressed hosts with high morbidity and mortality. Once suffering from cryptococcal meningitis, immunocompetent patients are more likely to achieve poor outcome, because of the powerful immune response. Here we present a case of cryptococcal meningitis occurring in an immunocompetent host with no definite underlying diseases and no...

متن کامل

Anti-GM-CSF autoantibodies in patients with cryptococcal meningitis.

Cryptococcal meningitis has been described in immunocompromised patients, as well as in those for whom no immune defect has been identified. GM-CSF regulates the function of phagocytes and pulmonary alveolar macrophages, critical elements in cryptococcal control. We performed clinical histories, immunological evaluation, and anticytokine autoantibody screening in four current patients with cryp...

متن کامل

Spinal Cryptococcoma Mimicking Spinal Cord Tumor Complicated by Cryptococcal Meningitis in an Immunocompetent Patient

There are very few cases in the literature on spinal cryptococcomas occurring alone without cerebral involvement at onset. Although cases of cerebral cryptoccomas followed by arachnoiditis have been reported, cases of spinal cryptococcoma followed by cryptococcal meningitis are exceedingly rare. We present a patient with spinal cord cryptococcoma who subsequently developed cryptococcal meningit...

متن کامل

Cryptococcal meningitis complicating sarcoidosis

BACKGROUND Cryptococcal meningitis is an uncommon but severe complication of sarcoidosis. METHODS We present 2 patients with cryptococcal meningitis complicating sarcoidosis and compared findings with 38 cases reported in the literature. RESULTS When analyzing our patients and 38 cases reported in the literature, we found that median age of sarcoidosis patients with cryptococcal meningitis ...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

عنوان ژورنال:

دوره   شماره 

صفحات  -

تاریخ انتشار 2012