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A rare cause of cerebral venous thrombosis: cryptococcal meningoencephalitis
Songul Senadim1, Sezin Alpaydin Baslo2, Betül Tekin Güveli2
1Department of Neurology, Bakirkoy Research and Training Hospital for Psychiatry, Neurology, Neurosurgery, Istanbul, Turkey. songulsenadim@gmail.com.
Abstract:
Cryptococcal meningoencephalitis (CM) is a serious central nervous system infection caused by Cryptococcus neoformans, seen mostly in immunocompromised hosts and less in immunocompetent patients. The vast majority of cryptococcosis cases are seen as human immunodeficiency virus infections with advanced immunosuppression. Meningitis and meningoencephalitis are the most common clinical manifestations. Nevertheless, immunocompetent patients with CM are rarely reported. Cerebral venous sinus thrombosis is a rare complication of CM. Here, we report an immunocompetent patient with CM from a non-endemic area, who presented with an acute onset and atypical symptoms associated with cerebral venous thrombosis.
Insights
Cryptococcal meningoencephalitis (CM) is a rare central nervous system infection. This report details an immunocompetent patient with CM and cerebral venous thrombosis, highlighting atypical symptoms in non-endemic areas.
Area of Science:
- Neurology
- Infectious Diseases
- Mycology
Background:
- Cryptococcal meningoencephalitis (CM) is a severe CNS infection primarily affecting immunocompromised individuals.
- Cryptococcus neoformans is the causative agent, with HIV infection being a major risk factor.
- CM is uncommon in immunocompetent hosts, making such cases noteworthy.
Purpose of the Study:
- To report a rare case of CM in an immunocompetent patient.
- To describe atypical clinical presentations and a rare complication (cerebral venous thrombosis).
- To contribute to understanding CM in non-endemic regions.
Main Methods:
- Case report of a single patient.
- Clinical presentation and diagnostic workup described.
- Literature review for similar cases.
Main Results:
- An immunocompetent patient presented with acute onset of atypical symptoms.
- Cerebral venous sinus thrombosis was identified as a complication of CM.
- The patient was from a non-endemic area for cryptococcosis.
Conclusions:
- CM can occur in immunocompetent individuals, even in non-endemic areas.
- Cerebral venous thrombosis is a rare but possible complication of CM.
- Atypical presentations necessitate a high index of suspicion for CM.
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