Meningoencefalitis por Cryptococcus neoformans en adolescente con desnutrición

Trejo-Espino, A. Wilfredo; Ramírez-Izcoa, Alejandro; Alvarado-Rivera, Swany; Godoy-Mejía, Carlos; Valenzuela-Castillo, Renato

doi:10.35663/amp.2016.333.118

Cited by 2 publications

(1 citation statement)

References 9 publications

(16 reference statements)

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“… 2 It is unusual in immunocompetent patients, but they may account for up to one-third of all cases. 3 , 4 Cryptococcosis results in up to 280,000 cases and 130,000 deaths yearly, with an estimated 152,000 cases and 112,000 deaths in patients with acquired immunodeficiency syndrome. 5 Both C. neoformans and C. gatti have marked neurotropism, therefore cryptococcal meningitis (CM) is the most common clinical presentation.…”

Section: Introductionmentioning

confidence: 99%

Cerebrospinal fluid shunting for the management of cryptococcal meningitis: a scoping review

Cornejo-Venegas,

Carreras,

Salcedo

et al. 2024

Therapeutic Advances in Infection

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Objective: This scoping review aimed to describe studies that evaluate the management of cryptococcal meningitis (CM) using cerebrospinal fluid (CSF) shunts, types of shunts used, and clinically relevant patient outcomes. Methods: We searched in the following databases: PubMed, Web of Science/Core collection, Embase, the Cochrane Library, and clinicaltrials.gov on 1 April 2022. We included two-arm and one-arm cohort studies that evaluated clinically relevant patient outcomes. Case reports were used to describe the type of CSF shunts used and the rationale behind its selection. The selection and extraction processes were independently performed by two authors. Results: This study included 20 cohort studies and 26 case reports. Only seven cohort studies compared two groups. Ventriculoperitoneal shunt was the most commonly used type of shunt (82.1%). The main indications for placing a shunt were persistently high opening pressure (57.1%) and persisting neurological symptoms or deterioration (54.3%). Cohort studies suggest that patients with shunt showed improvement in some outcomes such as neurological symptoms and hospital stay length. The most common shunt complications were post-operative fever (1–35.6%) and shunt obstruction (7–16%). Conclusion: CSF shunts may improve some clinically relevant outcomes in patients with CM, but the evidence is very uncertain.

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Section: Introductionmentioning

confidence: 99%

Cerebrospinal fluid shunting for the management of cryptococcal meningitis: a scoping review

Cornejo-Venegas,

Carreras,

Salcedo

et al. 2024

Therapeutic Advances in Infection

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Criptococosis cerebral en paciente inmunocompetente: reporte de caso y revisión de la literatura

Bernal-Pacheco¹,

López-Mora²,

Ávila-Coy³

2021

Neurología, Neurocirugía Y Psiquiatría

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Cryptococcosis in the central nervous system is an infrequent infection in immunocompetent patients. The Cryptococcus complex of which Cryptococcus neoformans and Cryptococcus gattii is a part, cause infection that starts in the lung and later causes infection in the central nervous system; being more frequent in immunocompetent patients Cryptococcus gattii and in immunocompromised patients Cryptococcus neoformans; having as a relevant clinical presentation headache due to increased intracranial pressure; this article reports a clinical case of a 46-year-old male, immunocompetent, who attends due to headache with warning signs, the warning signs being: first episode of headache with characteristics of increased intracranial pressure, which does not subside with analgesia, performing complementary studies, these being neuroimaging and lumbar puncture with identification with polymerase chain reaction in cerebrospinal fluid, in which infection in the central nervous system by Cryptococcus gattii is identified and during hospital stay a pulmonary nodule with cryptococoma is identified, for which lobectomy was performed, and treatment with amphotericin B and fluconazole was ordered.

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Meningoencefalitis por Cryptococcus neoformans en adolescente con desnutrición

Cited by 2 publications

References 9 publications

Cerebrospinal fluid shunting for the management of cryptococcal meningitis: a scoping review

Cerebrospinal fluid shunting for the management of cryptococcal meningitis: a scoping review

Criptococosis cerebral en paciente inmunocompetente: reporte de caso y revisión de la literatura

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