Lasso FA, Zamora Bastidas TO, Potosí García JA, Díaz Idrobo B. Cryptococcal cerebellitis in no-VIH patient.
Colomb Med (Cali) 2017;
48:94-97. [PMID:
29021643 PMCID:
PMC5625563]
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Abstract
INTRODUCTION
Cryptococcosis is an opportunistic fungal infection whose etiology is Cryptococcus neofromans / C. gattii, complex which affects immunocompromised patients mainly. Meningeal infection is one of the most common presentations, but cerebellar affection is rare.
CASE DESCRIPTION
Male patient with 65 old years, from an area of subtropical climate with chronic exposure to poultry, without pathological antecedents, who presented clinical picture consistent with headache, fever, seizures and altered mental status.
CLINICAL FINDINGS AND DIAGNOSTIC METHODS
Initially without menigeal signs or intracranial hypertension and normal neurological examination. Later, the patient developed ataxia, dysdiadochokinesia and limb loss. By lumbar punction and image of nuclear magnetic resonance (NMR) cerebellitis cryptococcal was diagnosticated.
TREATMENT
Antifungal therapy with amphotericin B and fluconazole was performed, however the patient died.
CLINICAL RELEVANCE
The cryptococcosis has different presentations, it´s a disease whose incidence has been increasing since the advent of the HIV / AIDS pandemy, however the commitment of the encephalic parenchyma and in particular the cerebellum is considered rare. In this way we are facing the first case of cryptococcal cerebellitis in our midst.
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