Cryptococcal meningitis/acquired immune deficiency syndrome presenting as a transient neurologic deficit

D D Davies1, E J Singer1, L McGill2

  • 1From the Neurology and Research Services, VAMC West Los Angeles, Harbor-UCLA School of Medicine, Torrance, CA, U.S.A.; Department of Neurology, UCLA School of Medicine, Los Angeles, CA, U.S.A.

Insights

A previously healthy man experienced a temporary neurologic deficit and neck pain, later diagnosed as cryptococcal meningitis and acquired immune deficiency syndrome (AIDS). This case highlights uncommon initial symptoms of cryptococcal meningitis in AIDS patients.

Area of Science:

  • Neuroscience
  • Infectious Diseases
  • Immunology

Background:

  • Cryptococcal meningitis is a serious fungal infection affecting the central nervous system.
  • Acquired immune deficiency syndrome (AIDS) compromises the immune system, increasing susceptibility to opportunistic infections like cryptococcosis.
  • Transient neurologic deficits can have various causes, necessitating a thorough diagnostic approach.

Purpose of the Study:

  • To report an uncommon initial presentation of cryptococcal meningitis.
  • To emphasize the importance of considering AIDS-related infections in the differential diagnosis of transient neurologic deficits.
  • To highlight the association between cryptococcal meningitis and undiagnosed acquired immune deficiency syndrome (AIDS).

Main Methods:

  • Case report of a previously healthy male patient.
  • Clinical presentation including transient neurologic deficit and neck pain.
  • Diagnostic procedures including lumbar puncture and subsequent HIV testing.

Main Results:

  • Lumbar puncture confirmed cryptococcal meningitis.
  • The patient was diagnosed with acquired immune deficiency syndrome (AIDS).
  • Transient neurologic deficit was identified as an unusual initial symptom.

Conclusions:

  • Transient neurologic deficit can be an uncommon initial manifestation of cryptococcal meningitis.
  • Acquired immune deficiency syndrome (AIDS)-related infections should be considered in the differential diagnosis of transient neurologic deficits.
  • Early diagnosis and management of opportunistic infections are crucial in patients with undiagnosed AIDS.

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