Journal of Clinical Case Reports

Department of Medicine, Internal Medicine, St. Barnabas Hospital Health System, The Bronx,NY, USA

Publications

• 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

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