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A case of cryptococcoma in an immunocompetent man with polysubstance use
Radhika Malhotra1, Zachary Lodato1, Patrick Brunk1
1Department of Medicine, Rutgers New Jersey Medical School, Newark, NJ, USA.
Abstract:
Cryptococcus most commonly affects the pulmonary and central nervous systems in patients who are immunocompromised. It is most likely to present as meningitis. However, it can affect immunocompetent patients in the cerebral parenchyma. Here we describe a rare case of cryptococcoma in an immunocompetent male patient who originally presented with headache and possible seizure-like activity and had IV drug use as a risk factor. Cryptococcomas are a rare manifestation of the disease, and can present due to Cryptococcus gatti. Definite diagnosis is dependent on culture of the organism and treatment includes a long course of anti-fungals.
Insights
This case report details a rare cryptococcoma in an immunocompetent individual, highlighting Cryptococcus gattii as a potential cause. Diagnosis requires fungal culture, and treatment involves prolonged antifungal therapy.
Area of Science:
- Medical Mycology
- Infectious Diseases
- Neurology
Background:
- Cryptococcus infections typically impact the pulmonary and central nervous systems, predominantly in immunocompromised individuals, often presenting as meningitis.
- However, Cryptococcus can affect immunocompetent hosts, manifesting within the cerebral parenchyma.
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