Cryptococcal meningitis disguised as a stroke: a case report
We present a case of cryptococcal meningitis initially misdiagnosed as stroke. Our patient is a young man on longterm corticosteroid due to gouty arthritis, who presented with acute onset of left-sided body weakness. Computed tomography of the brain revealed multifocal chronic lacunar infarcts with...
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| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
UPM Press
2022
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| Online Access: | http://psasir.upm.edu.my/id/eprint/100847/1/Cryptococcal%20meningitis%20disguised%20as%20a%20stroke.pdf http://psasir.upm.edu.my/id/eprint/100847/ https://medic.upm.edu.my/jurnal_kami/volume_18_2022/mjmhs_vol18_no_5_september_2022-68867 |
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| Summary: | We present a case of cryptococcal meningitis initially misdiagnosed as stroke. Our patient is a young man on longterm corticosteroid due to gouty arthritis, who presented with acute onset of left-sided body weakness. Computed tomography of the brain revealed multifocal chronic lacunar infarcts with acute communicating hydrocephalus and cerebrospinal fluid culture isolated Cryptococcus neoformans. He was subsequently treated with amphotericin B and fluconazole but passed away due to multiorgan failure. This case report highlights the importance of considering chronic meningitis as a differential diagnosis when encountering stroke in young and immunocompromised patients. |
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