Puerperal brain cryptococcoma in an HIV-negative woman successfully treated with fluconazole: a case report
Rev. Soc. Bras. Med. Trop
; 47(2): 254-256, Mar-Apr/2014. graf
Article
en En
| LILACS
| ID: lil-710359
Biblioteca responsable:
BR1.1
ABSTRACT
Cryptococcus spp. cerebral abscesses are uncommon in immunocompetent subjects. The recommended induction treatment is the administration of amphotericin B plus flucytosine combined with resection for lesions ≥3cm. In this paper, we describe an HIV-negative woman diagnosed with a large cryptococcoma in the immediate postpartum period. The lesion was not resected, and due to amphotericin B intolerance, she received an extended course of fluconazole monotherapy. There was no disease recurrence during the 4 years of follow-up. The abrupt onset of her symptoms following delivery suggests that she developed a postpartum immune reconstitution syndrome. This case also demonstrates that in specific situations fluconazole monotherapy can be attempted in immunocompetent patients with cryptococcoma.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
LILACS
Asunto principal:
Infección Puerperal
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Fluconazol
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Meningitis Criptocócica
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Antifúngicos
Tipo de estudio:
Diagnostic_studies
Límite:
Adult
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Female
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Humans
Idioma:
En
Revista:
Rev. Soc. Bras. Med. Trop
Asunto de la revista:
MEDICINA TROPICAL
Año:
2014
Tipo del documento:
Article
/
Project document
País de afiliación:
Estados Unidos