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Related Concept Videos

Cryptococcal Meningitis01:27

Cryptococcal Meningitis

Cryptococcal meningitis is a life-threatening opportunistic infection predominantly associated with HIV/AIDS, accounting for over 100,000 deaths annually worldwide. However, it also affects individuals with other forms of immunosuppression, including those undergoing immunosuppressive therapy, organ transplant recipients, patients with innate immunodeficiencies, and individuals with hematological disorders. The infection is caused mainly by Cryptococcus neoformans and Cryptococcus gattii,...
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Bacterial meningitis is a severe infectious disease involving inflammation of the meninges, the protective membranes surrounding the brain and spinal cord. It occurs when pathogenic bacteria cross the blood–brain barrier and enter the cerebrospinal fluid. Common causative organisms include Neisseria meningitidis, Streptococcus pneumoniae, Haemophilus influenzae type b, Listeria monocytogenes, and Escherichia coli K1. The exact route of entry varies by pathogen and host condition.Routes of Entry...

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Inducing Meningococcal Meningitis Serogroup C in Mice via Intracisternal Delivery
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Published on: November 5, 2019

Cryptococcal meningitis in an immunocompetent adolescent.

A L T Ma1, N C Fong, C W Leung

  • 1Department of Paediatrics & Adolescent Medicine, Princess Margaret Hospital, Hong Kong. maalison2000@gmail.com

Annals of Tropical Paediatrics
|August 30, 2008
PubMed
Summary

Cryptococcus neoformans meningitis is rare in healthy children. This report details a successful treatment of a Chinese adolescent with intravenous amphotericin and oral flucytosine.

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Published on: November 5, 2019

Area of Science:

  • Infectious Diseases
  • Pediatrics
  • Mycology

Background:

  • Cryptococcus neoformans is an opportunistic fungal pathogen.
  • Cryptococcal meningitis is uncommon in immunocompetent individuals, particularly children.
  • This case highlights a rare presentation in a pediatric population.

Observation:

  • A healthy Chinese adolescent presented with symptoms suggestive of meningitis.
  • Cerebrospinal fluid analysis confirmed the presence of Cryptococcus neoformans.
  • The patient had no known underlying immunodeficiency.

Findings:

  • The adolescent received treatment with intravenous amphotericin B and oral flucytosine.
  • Clinical and microbiological resolution of cryptococcal meningitis was achieved.
  • The patient demonstrated a favorable response to the prescribed antifungal regimen.

Implications:

  • This case underscores the importance of considering Cryptococcus neoformans in the differential diagnosis of meningitis, even in immunocompetent children.
  • Successful treatment outcomes can be achieved with standard antifungal therapies.
  • Further research may explore the epidemiology and specific risk factors in pediatric populations.