Co-Infection of Cryptococcal and Multidrug Resistant Tuberculous Meningitis in Immunocompetent Patient
Journal Title: Journal of Clinical & Medical Case Reports - Year 2017, Vol 4, Issue 1
Abstract
A rare, previously unreported case of concurrent central nervous system infection with Cryptococcus neoformans and multi-drug resistant Mycobacterium tuberculosis in a 27-year-old immunocompetent female patient who reported to a tertiary care centre in North India. Various diagnostic and case management difficulties encountered for the management of this case have been highlighted. Correct and complete etiological identification, enabling early, appropriate treatment in patients with concomitant infections may pose a diagnostic dilemma. The case highlights the need to maintain an increased level of clinical suspicion for co-infections with tuberculosis (TB), (especially in TB meningitis), even if there are no obvious signs of immunodeficiency, thereby indicating that TB could be the cause for immunosuppression, hence paving way for opportunistic infections.
Authors and Affiliations
Urvashi B. Singh
Keywords
Related Articles
- EP ID EP210148
- DOI 10.13188/2332-4120.1000025
- Views 132
- Downloads 0
Autoimmune Progesterone Dermatitis during Pregnancy Results in a Full-Term Delivery
Autoimmune progesterone dermatitis (APD) is a rare disease that may first appear, worsen, or improve during pregnancy. We report a case of a 37-year-old primigravid woman who was referred to our clinic eight weeks pregna...
Recurrent Multiple Complex Anal Fan-Shape Fistula
Introduction: Fortunately, recurrent multiple complex anal fistula is an uncommon pathology; however, it is at times frankly impossible to cure and entails considerable fear regarding application of thetherapeutic option...
Acute Perforated Appendix Mimicking Umbilical Hernia: A Rare Case Report
The contents of umbilical hernia are usually omentum or bowel. Unexpected contents cause confusion in the diagnosis, especially when inflamed, and may mimic a strangulated umbilical hernia. Only four cases of appendiciti...
The Use of Multiplex Ligation- Dependent Probe Amplification Technology for Genetic Analysis of the Entire PKD1 Gene and PKD2 Gene
Genetic screening of the PKD1 and PKD2 genes using the MLPA method may decrease cost and labor. Indeed, the MLPA method was especially useful in cases exhibiting juvenile onset and rapid kidney enlargement. Case 1 had gr...
Prophylactic Donor Lymphocyte Infusion to Prevent Relapse after Allogeneic Stem Cell Transplantation
Donor lymphocyte infusion (DLI) has been used to treat disease relapse after stem cell transplantation, but high incidence of graftversus- host disease (GVHD) after traditional DLI, and low response rates with robust rel...