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Ex Vivo Infection of Human Lymphoid Tissue and Female Genital Mucosa with Human Immunodeficiency Virus 1 and Histoculture
Published on: October 12, 2018
Cryptococcemia resulting in an incomplete abortion in an HIV-positive patient
Kurosh Rahimi1, Runjan Chetty, Blaise Clarke
1Department of Pathology, University Health Network/University of Toronto, Toronto, Ontario.
Insights
Cryptococcemia, a fungal infection, caused a miscarriage in an HIV-positive patient. This case highlights unusual presentations of cryptococcosis in immunocompromised individuals, emphasizing the need for early diagnosis.
Area of Science:
- Medical Mycology
- Infectious Diseases
- Immunocompromised Host Research
Background:
- Immunocompromised patients are susceptible to opportunistic infections.
- Cryptococcosis is a fungal infection caused by *Cryptococcus* species.
- Unusual clinical presentations are common in immunocompromised individuals.
Observation:
- A case of cryptococcemia leading to miscarriage is presented.
- The patient was diagnosed with Human Immunodeficiency Virus (HIV) infection.
- The infection was the initial presentation and sentinel event for the patient's HIV diagnosis.
Findings:
- Histological examination of products of conception revealed numerous *Cryptococcus* organisms.
- A focal granulomatous response to the fungi was observed.
- No evidence of cryptococcal endometritis or other concurrent infections was found.
Implications:
- This case underscores the importance of considering exotic infections in immunocompromised patients.
- Early diagnosis and management of cryptococcosis are crucial in HIV-positive individuals.
- Cryptococcemia can have severe reproductive consequences, including miscarriage.
Abstract:
Exotic infections and unusual presentations are the norm in immunocompromised patients. An unusual case of cryptococcemia resulting in a miscarriage is reported. This was the first presentation of the disease and the sentinel infection in the patient who was found to be HIV positive. Histological evaluation of the dilation and curettage specimen showed numerous typical organisms of cryptococcus present within the products of conception. There was a focal granulomatous response to the organisms. An accompanying cryptococcal endometritis was not noted. Other concomitant infections were not seen.
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