Cryptococcal meningitis presenting as sinusitis in a renal transplant recipient

被引：5

作者：

Iyer, S. P. ^{[1
]}

Movva, K. ^{[2
]}

Wiebel, M. ^{[3
]}

Chandrasekar, P. ^{[4
]}

Alangaden, G. ^{[5
]}

Carron, M. ^{[3
]}

Tranchida, P. ^{[6
]}

Revankar, S. G. ^{[4
]}

机构：

[1] St Johns Med Ctr, Dept Med, Detroit, MI USA

[2] Beaumont Hosp, Dept Med, Detroit, MI USA

[3] Wayne State Univ, Dept Otolaryngol, Detroit, MI 48201 USA

[4] Wayne State Univ, Dept Med, Detroit, MI 48202 USA

[5] Henry Ford Hosp, Dept Med, Detroit, MI 48202 USA

[6] Wayne State Univ, Dept Pathol, Detroit, MI 48202 USA

来源：

TRANSPLANT INFECTIOUS DISEASE | 2013年 / 15卷 / 05期

关键词：

Cryptococcus; renal transplantation; sinusitis; meningitis; EPIDEMIOLOGY; MANAGEMENT; UPDATE;

D O I：

10.1111/tid.12128

中图分类号：

R392 [医学免疫学]; Q939.91 [免疫学];

学科分类号：

100102 ;

摘要：

Cryptococcal meningitis is a relatively common invasive fungal infection in immunocompromised patients, especially in solid organ transplant recipients. Clinical presentation typically includes fever, headache, photophobia, neck stiffness, and/or altered mental status. Unusual presentations may delay diagnosis. Therapy is challenging in renal transplant patients because of the nephrotoxicity associated with amphotericin B, the recommended treatment. We present a case of cryptococcal meningitis in a renal transplant recipient presenting as acute sinusitis with successful treatment using fluconazole as primary therapy.

引用

页码：E187 / E190

页数：4

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