A case of cryptococcal meningoencephalitis and focal cerebral vasculitis with transient immunodeficiency.
Acta Neurol (Napoli)
; 12(4): 301-4, 1990 Aug.
Article
em En
| MEDLINE
| ID: mdl-2251957
ABSTRACT
The AA. report a case of CNS cryptococcosis with vasculopathic complications in a woman in perfect physical conditions. The patient was admitted to hospital after complaining for 20 days of fever, headache and rachialgia. CSF examination revealed hypoglicorrachia (18 mg %), cells 440 mmc (polymorphonuclear leukocytes 90%), brain CT scan negative. During antimycobacterial treatment right hemiparesis appeared; brain CT hypodense lesion in the posterior brachium of the left inner capsule; at its base the lesion showed a hypodense streak coherent with thromboembolic damage or deep vasculitis. OKT4 lymphocytes were 6% (absolute number 70). The antimycotic treatment, following the positive reaction of the CSF culture to Cryptococcus Neoformans, entirely cured the hemiparesis and normalized the CSF while OKT4 lymphocytes rapidly grew.
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Base de dados:
MEDLINE
Assunto principal:
Vasculite
/
Encefalopatias
/
Criptococose
/
Síndromes de Imunodeficiência
/
Meningoencefalite
Idioma:
En
Ano de publicação:
1990
Tipo de documento:
Article