Cryptococcal Meningitis Disguised As A Stroke: A Case Report
https://doi.org/10.47836/mjmhs.18.5.32
- Author:
Fatimahtuz Zahrah Muhamad Damanhuri
1
,
2
;
Siti Zulaikha Zakariah
1
,
3
;
Fatimatulzahra Abdul Ghani
3
Author Information
1. Department of Medical Microbiology, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400 Serdang, Selangor, Malaysia&
2. Department of Pathology, Hospital Sungai Buloh, Jalan Hospital, 47000 Sungai Buloh, Selangor, Malaysia
3. Hospital Pengajar Universiti Putra Malaysia, 43400 Serdang, Selangor, Malaysia
- Publication Type:Case Reports
- Keywords:
Meningitis, Cryptococcal, Stroke, Diagnosis, Differential
- From:Malaysian Journal of Medicine and Health Sciences
2022;18(No.5):225-227
- CountryMalaysia
- Language:English
-
Abstract:
We present a case of cryptococcal meningitis initially misdiagnosed as stroke. Our patient is a young man on longterm corticosteroid due to gouty arthritis, who presented with acute onset of left-sided body weakness. Computed
tomography of the brain revealed multifocal chronic lacunar infarcts with acute communicating hydrocephalus and
cerebrospinal fluid culture isolated Cryptococcus neoformans. He was subsequently treated with amphotericin B
and fluconazole but passed away due to multiorgan failure. This case report highlights the importance of considering
chronic meningitis as a differential diagnosis when encountering stroke in young and immunocompromised patients.
- Full text:11.2022my1351.pdf
