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Not your "typical patient": cryptococcal meningitis in an immunocompetent patient
1University of Washington Biobehavioral Nursing and Health Systems, Box 357266, Seattle, WA 98195-7266, USA. hilairet@u.washington.edu
Abstract:
Meningitis, when caused by the fungal mycoses Cryptococcus neoformans, is normally seen in immuno-compromised hosts. However, immunocompetent patients are also susceptible to cryptococcal meningitis (CM). In patients with an intact immune system, CM usually presents with the typical signs and symptoms of meningitis: fever, stiff neck, and headache. Major implications for the primary and advanced practice nursing plans of care for CM patients include a thorough history and physical exam, early diagnosis and treatment, and an individualized plan of care focused on minimizing sequelae and side effects of treatment and maximizing functional recovery.
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