Cryptococcal Meningitis Disguised As A Stroke: A Case Report
https://doi.org/10.47836/mjmhs.18.5.32
- Author:
Fatimahtuz Zahrah Muhamad Damanhuri
1
;
Siti Zulaikha Zakariah
2
;
Fatimatulzahra Abdul Ghani
3
Author Information
1. Department of Medical Microbiology, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400 Serdang, Selangor, Malaysia&Department of Pathology, Hospital Sungai Buloh, Jalan Hospital, 47000 Sungai Buloh, Selangor, Malaysia
2. Department of Medical Microbiology, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400 Serdang, Selangor, Malaysia&Hospital Pengajar Universiti Putra Malaysia, 43400 Serdang, 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
