[A case of AIDS with intractable cryptococcal meningitis].
Kansenshogaku Zasshi
; 70(7): 752-6, 1996 Jul.
Article
em Ja
| MEDLINE
| ID: mdl-8797310
ABSTRACT
A 38-year-old hemophiliac, who had been infected with HIV by the administration of blood products and had been diagnosed as AIDS by the onset of Pneumocystis carinii pneumonia, was admitted to our hospital with the complaints of headache and vomiting. After he was diagnosed as cryptococcal meningitis using the microscopy, cryptococcal antigen detection and culture of cerebrospinal fluid, treatment with amphotericin-B and fluconazole was started. As there was no clinical improvement, spinal drainage was performed and acetazolamide administered in order to reduce the intracranial pressure. Treatment was changed from AMPH-B and FLCZ to a combined therapy of AMPH-B and itraconazole. As his clinical features showed improvement, he was discharged home on a maintenance dose of ITCZ and acetazolamide after having been hospitalized for three months. This case-report may be of use in the management of cryptococcal meningitis in patients with AIDS.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Meningite Criptocócica
/
Infecções Oportunistas Relacionadas com a AIDS
Limite:
Adult
/
Humans
/
Male
Idioma:
Ja
Revista:
Kansenshogaku Zasshi
Ano de publicação:
1996
Tipo de documento:
Article