Complicated and protracted cryptococcal disease in HIV-infected children
Haseena Hassan1, Mark F Cotton, Helena Rabie
1From the *Department of Paediatrics and Child Health, Stellenbosch University and Tygerberg Children's Hospital; and †Children's Infectious Diseases Research Unit (KIDCRU), Stellenbosch University, Tygerberg, Cape Town, South Africa.
Abstract:
We report 7 HIV-infected children with cryptococcosis. Median age and CD4 counts were 9.3 years and 12 cells/mm, respectively. Two children died early. Of 4 children requiring prolonged amphotericin B and fluconazole at a dosage above 12 mg/kg/d, 3 presented with meningitis and 1 with fever. Immune reconstitution inflammatory syndrome contributed to morbidity through exacerbations at the primary site and elsewhere.
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