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Published on: February 27, 2018
Disseminated Cryptococcus neoformans: case report and review of the literature
Nisha C Patel1, Christopher Ewanowski, Agnieszka Kupiec-Banasikowska
1Georgetown University Hospital, Washington, DC, USA.
Abstract:
Cryptococcus neoformans is a yeastlike encapsulated basidiomycetous fungus that is able to cross the blood-brain barrier and cause meningitis in both immunocompetent and immunocompromised individuals. Cryptococcus neoformans has emerged as a major opportunistic pathogen because of the widespread use of immunosuppressive therapy. It causes most cryptococcal infections in humans, and disseminated infection can have cutaneous manifestations. We report a rare case of disseminated C neoformans in a 52-year-old man who underwent an orthotopic liver transplant. We also provide a concise review of the literature on C neoformans, including its associations, histology, and treatment.
Insights
Cryptococcus neoformans, a fungal pathogen, can cause meningitis and skin infections. This case highlights a rare disseminated infection in a liver transplant recipient.
Area of Science:
- Mycology
- Infectious Diseases
- Transplantation Immunology
Background:
- Cryptococcus neoformans is an opportunistic fungal pathogen known for causing meningitis by breaching the blood-brain barrier.
- Its prevalence as an opportunistic pathogen has increased due to widespread immunosuppressive therapy.
- Disseminated infections can manifest with cutaneous involvement.
Observation:
- A rare case of disseminated Cryptococcus neoformans infection is presented.
- The patient was a 52-year-old male who had undergone an orthotopic liver transplant.
Findings:
- The case illustrates a rare presentation of disseminated fungal infection post-transplant.
- The study reviews the literature on Cryptococcus neoformans, covering its associations, histological features, and therapeutic strategies.
Implications:
- This case underscores the importance of vigilance for opportunistic infections in transplant recipients.
- Understanding the diverse manifestations of Cryptococcus neoformans is crucial for timely diagnosis and management in immunocompromised individuals.
- The review provides valuable insights for clinicians managing similar complex cases.
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