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Cryptococcal Meningitis in an Immunocompetent Patient With an Initially False-Negative Cerebrospinal Fluid Analysis:
Sheau Wei Tan1, Chuin Chi Yap1, Sri Siva Shakti Ratanasamy1
1Internal Medicine, Hospital Sultanah Nora Ismail, Batu Pahat, MYS.
Cureus
|March 13, 2026
Summary
Cryptococcal meningitis (CM) can occur in immunocompetent individuals, presenting diagnostic challenges. Early suspicion and serial testing are crucial for timely cryptococcus neoformans diagnosis and treatment.
Area of Science:
- Neurology
- Infectious Diseases
- Medical Diagnostics
Background:
- Cryptococcal meningitis (CM) is typically linked to immunocompromised states.
- Its occurrence in immunocompetent individuals is rising and presents diagnostic difficulties.
- Subacute meningoencephalitis and hydrocephalus can be initial symptoms.
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