Cryptococcal Meningitis Complicated by a Brain Abscess and an Abdominal Pseudocyst Following Ventriculoperitoneal Shunting
10.3904/kjm.2019.94.4.383
- Author:
Min Jeong KIM
1
;
Ji Un LEE
Author Information
1. Division of Infectious Diseases, Department of Internal Medicine, Hongik Hospital, Seoul, Korea. najiun5966@naver.com
- Publication Type:Case Report
- Keywords:
Cryptococcus;
Ventriculoperitoneal shunt
- MeSH:
Aged;
Brain Abscess;
Brain;
Central Nervous System;
Cryptococcus;
Diagnosis;
Humans;
Hydrocephalus;
Meningitis, Cryptococcal;
Mortality;
Ventriculoperitoneal Shunt
- From:Korean Journal of Medicine
2019;94(4):383-386
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Ventriculoperitoneal (VP) shunt insertion is the standard treatment for hydrocephalus; shunt-associated infection is the most common complication after surgery. However, fungal infections are unusual. We present a case of cryptococcal meningitis complicated by a brain abscess and an infected intra-abdominal pseudocyst that developed 14 weeks after VP shunt insertion to treat hydrocephalus in a 74-year-old patient. Cryptococcal central nervous system (CNS) infection has a high mortality rate; however, diagnosis is challenging. Therefore, prompt diagnosis and treatment are required when a cryptococcal CNS infection is suspected in patients with VP shunts.
