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228498

Neuromeningeal Cryptococcosis in a non-Immunocompromised Patient:‎‎ Two Cases

Article

Last updated: 22 Jan 2023

Subjects

-

Tags

Infectious diseases

Abstract

Neuromeningeal cryptococcosis (NC) ,  is a mycosis caused by an encapsulated yeast fungus, named Cryptococcus neoformans (CN) , primarily affecting immunocompromised patients, particularly those with human immunodeficiency virus (HIV), but may rarely affect immunocompetents. We report the observations of two immunocompetent adult patients with neuromeningeal cryptococcosis, they are fifty six years old and forty six years old, the disease started in both patients with symptoms of meningoencephalitis, the diagnosis was established by the presence of cryptococcus in the cerebrospinal fluid (CSF) and in the serum by the detection of the capsular polysaccharide antigen by latex agglutination. The search for the common etiologies causing the immunosuppressant has been negative. Amphotericin B treatment was started. The evolution was favorable in the first case and fatal in the second one causing his death with cerebral engagement. We conclude from these observations, that neuromeningeal cryptococcosis can occur in any patient immunocompetent.

DOI

10.21608/aeji.2022.121997.1204

Keywords

yeast, Cryptococcus neoformans, Immunocompromised, Amphotericin B

Authors

First Name

Soukaina

Last Name

Adadi

MiddleName

-

Affiliation

Department of Parasitology and Mycology, Central Laboratory of Medical Analysis, Hassan II ‎University Hospital, Sidi Mohamed Ben Abdellah, Fez, Morocco

Email

soukaina.adadi@usmba.ac.ma

City

fez

Orcid

0000-0002-5582-0212

First Name

Ouahiba

Last Name

Bhalil

MiddleName

-

Affiliation

Department of Immunology, Central Laboratory of Medical Analysis, Hassan II University Hospital, Sidi ‎Mohamed Ben Abdellah, Fez, Morocco ‎.‎

Email

ouahibabhalil@gmail.com

City

-

Orcid

-

First Name

Hayat

Last Name

Ben-saghroune

MiddleName

-

Affiliation

Department of Parasitology and Mycology, Central Laboratory of Medical Analysis, Hassan II ‎University Hospital, Sidi Mohamed Ben Abdellah, Fez, Morocco

Email

hayat.bensaghroune@gmail.com

City

-

Orcid

-

First Name

Zineb

Last Name

Tlamçani

MiddleName

-

Affiliation

Department of Parasitology and Mycology, Central Laboratory of Medical Analysis, Hassan II ‎University Hospital, Sidi Mohamed Ben Abdellah, Fez, Morocco

Email

parasitologiefes@gmail.com

City

-

Orcid

-

Volume

12

Article Issue

2

Related Issue

34231

Issue Date

2022-06-01

Receive Date

2022-02-15

Publish Date

2022-06-01

Page Start

178

Page End

182

Print ISSN

2090-7613

Online ISSN

2090-7184

Link

https://aeji.journals.ekb.eg/article_228498.html

Detail API

https://aeji.journals.ekb.eg/service?article_code=228498

Order

11

Type

Case report

Type Code

622

Publication Type

Journal

Publication Title

Afro-Egyptian Journal of Infectious and Endemic Diseases

Publication Link

https://aeji.journals.ekb.eg/

MainTitle

-

Details

Type

Article

Created At

22 Jan 2023