Co-Infection of Cryptococcal and Multidrug Resistant Tuberculous Meningitis in Immunocompetent Patient
Journal Title: Journal of Clinical & Medical Case Reports - Year 2017, Vol 4, Issue 1
Abstract
A rare, previously unreported case of concurrent central nervous system infection with Cryptococcus neoformans and multi-drug resistant Mycobacterium tuberculosis in a 27-year-old immunocompetent female patient who reported to a tertiary care centre in North India. Various diagnostic and case management difficulties encountered for the management of this case have been highlighted. Correct and complete etiological identification, enabling early, appropriate treatment in patients with concomitant infections may pose a diagnostic dilemma. The case highlights the need to maintain an increased level of clinical suspicion for co-infections with tuberculosis (TB), (especially in TB meningitis), even if there are no obvious signs of immunodeficiency, thereby indicating that TB could be the cause for immunosuppression, hence paving way for opportunistic infections.
Authors and Affiliations
Urvashi B. Singh
Early-Infantile Galactosialidosis: Clinical and Radiological Findings
Galactosialidosis is a rare lysosomal storage disorder. Very few reports of the early-infantile (EIGS) form can be found in the literature. This form typically presents with prenatal non-immune fetal hydrops associated w...
Giant Intraductal Papilloma: A Rare Case
Intraductal papilloma is a benign fibroepithelial tumor of the breast. It constitutes approximately 5% of all breast cancers. Although it can be seen at any age, it is mostly seen in late reproductive age and during peri...
Congestive Heart Failure Treated with a Multiple Micronutrient Supplement Program: A Case Report
Congestive heart failure is a chronic progressive disorder of the cardiovascular system with loss of function of the cardiac myocytes. There is no cure and treatments only attempt to reduce the severity of symptoms. We p...
Avascular Necrosis of Femoral Head in a 45 year Old Man: A Case Study of an Unnoticed Sickle Cell Disease Patient
Background: Periodic, self-limited episodes of excruciating musculoskeletal pain punctuate the lives of patients with Sickle Cell Disease (SCD) right from childhood. It is very rare for individuals with SCD to be asympto...
End-Stage Renal Disease and Early-Onset Calciphylaxis: A Case Report
We discuss the presentation of Mr. B, a 51-year-old African American male, diagnosed with End-Stage Renal Disease (ESRD) initiated on hemodialysis 6 months prior to presentation. After starting dialysis, the patient deve...