Management of long-term cryptococcal meningitis neoformans in a surviving patient: A case report

Abstract

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Cryptococcal meningitis is a common fungal infection of the central nervous system with high mortality and disability rates. A prominent clinical manifestation is persistent and severe cranial hypertension, which is one of the most critical outcome determinants in patients with cryptococcal meningoencephalitis. Herein, we report and discuss a case of cryptococcal meningitis treated by an inadequate course of medical therapy and placement of a ventriculoperitoneal shunt in a patient who survived for more than 10 years.

Keywords

• cryptococcal meningitis
• hydrocephalus
• ventriculoperitoneal shunt
• CSF pressure
• standardized medical therapy