Related Experiment Video
Updated: May 20, 2026

Assessing the Innate Sensing of HIV-1 Infected CD4+ T Cells by Plasmacytoid Dendritic Cells Using an Ex vivo Co-culture System.
Published on: September 1, 2015
Cryptoccocal meningitis and HIV in the era of HAART in Côte d'Ivoire
E F Aoussi1, E Ehui, J P Dembélé
1Service des maladies infectieuses et tropicales, CHU de Treichville, 01 BP V3, Abidjan 01, Côte d'Ivoire. ebaaoussi@hotmail.com
Insights
Cryptococcal meningitis is common in HIV-infected adults in Ivory Coast, with a high mortality rate. Early management of cryptococcal meningitis is crucial for improving patient outcomes.
Area of Science:
- Infectious Diseases
- Neurology
- Public Health
Background:
- Cryptococcal meningitis is a significant opportunistic infection in individuals with Human Immunodeficiency Virus (HIV).
- Management strategies and outcomes for cryptococcal meningitis in resource-limited settings require further elucidation.
Purpose of the Study:
- To describe the clinical management and outcomes of cryptococcal meningitis among HIV-infected adults in Ivory Coast.
Main Methods:
- A retrospective study analyzed data from 80 hospitalized patients with cryptococcal meningitis between 2005 and 2008.
- Data collected included socio-demographic, clinical, and biological characteristics, treatment regimens, and patient outcomes.
Main Results:
- The study included 80 patients (51.25% male, mean age 40 years) with cryptococcal meningitis, representing 2.6% of hospitalizations.
- Common symptoms included headache (83.7%), fever (63.7%), and altered consciousness (60%). 67.5% were not on antiretroviral therapy (ART) with low CD4 counts.
- The mortality rate was high at 41.2%, despite treatment with Amphotericin B and fluconazole in most cases.
Conclusions:
- Cryptococcal meningitis remains a frequent and often fatal complication in HIV-infected adults in Ivory Coast, even with ART availability.
- The high mortality rate underscores the critical need for prompt diagnosis and effective management strategies to improve prognosis.
Objective:
The authors had for aim to describe the management of cryptococcal meningitis in HIV infected adults, in Ivory Coast.
Patients And Methods:
A retrospective study was made from January 1, 2005 to December 31, 2008 on the files of consecutive hospitalized patients presenting with cryptococcal meningitis, at the Treichville University Hospital, Infectious and tropical diseases department (Abidjan). The socio-demographic, clinical, and biological aspects as well as the outcome were analyzed.
Results:
Eighty patients presenting with cryptococcal meningitis, (2.6% of hospitalized patients) were included: 41 men (51.25%) and 39 women (48.75%); mean age: 40 years (range 26 to 58 years). The delay before consultation was 5.4 days, range 2-12 days). The mains symptoms were headache (83.7%), fever (63.7%), and consciousness disorders (60%). Meningo-encephalitis accounted for 75% of the clinical presentations; 54 patients (67.5%) were naive of antiretroviral treatment (mean CD4: 45/mm(3) (range 5-103/mm(3)), while 26 (32.5%) had received antiretrovirals before presenting with cryptococcal meningitis (Nadir CD4=81/mm(3)). Amphotericin B relayed by fluconazole was prescribed to 86.2% of the patients, associated with a therapeutic lumbar puncture for 30 patients. The death rate was 41.2%.
Conclusion:
In spite of antiretroviral treatment availability in Ivory Coast, cryptococcal meningitis remains frequent with a high death rate. This study stresses the importance of early management to improve the prognosis.
More Related Videos
Related Concept Videos
Retrovirus Life Cycles
Sexually Transmitted Infections
Pulmonary Tuberculosis I
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
Immunodeficiency Diseases
There are three main causes of immunodeficiency disorders...
Cytomegalovirus Disease
Infectious Diseases and Their Occurrence

