Department of Medicine, Internal Medicine, St. Barnabas Hospital Health System, The Bronx,NY, USA
Case Report
A Case Report of a Brain Herniation Secondary to Cryptococcal Meningitis with Elevated Intracranial Pressure in a Patient with Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome (HIV/AIDS)
Author(s): Nehemias Guevara*, Abdulrasheed Akande, Mailing Flores Chang, Jane Atallah and Carol Epstein
Background: Cryptococcal meningitis is a major opportunistic infection in individuals with HIV. The worldwide annual incidence is estimated
to be approximately one million cases per year, with the most significant burden in sub-Saharan Africa. HIV-associated cryptococcal meningitis
continues to have a high mortality rate despite widespread availability and use of HAART.
Case: 36-year-old male with a past medical history of AIDS and a CD4 count of 35 cells/mm3 presented with altered mental status initially
thought to be related to using crystalline methamphetamine as reported by EMS. However, a lumbar puncture performed in the emergency
department showed elevated CSF opening pressure of 29 cm H2O and positive CSF and serum cryptococcal antigen. The patient was admitted
and commenced treatment according .. Read More»
DOI:
10.37421/2165-7920.2022.12.1506
Journal of Clinical Case Reports received 1295 citations as per Google Scholar report