Cryptococcoma mimicking a brain tumor in an immunocompetent patient: A case and illustrative report
Cryptococcosis usually presents in immunocompromised patients, especially HIV infection, Immunocompetent patients may occasionally present with cerebral cryptococomas, which may be difficult to distinguish from other lesions like primary tumors or metastasis. We present one case that represents this...
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Format: | Article |
Language: | English |
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Elsevier
2023-03-01
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Series: | Interdisciplinary Neurosurgery |
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Online Access: | http://www.sciencedirect.com/science/article/pii/S221475192200202X |
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author | Carlos Fernando Nicolas-Cruz Michael Ariza-Varon Michel Gustavo Mondragón-Soto Ariadna Suarez-Venegas Rodolfo Villalobos-Diaz Ricardo Marian-Magaña Sergio Moreno-Jiménez José Luis Soto-Hernández |
author_facet | Carlos Fernando Nicolas-Cruz Michael Ariza-Varon Michel Gustavo Mondragón-Soto Ariadna Suarez-Venegas Rodolfo Villalobos-Diaz Ricardo Marian-Magaña Sergio Moreno-Jiménez José Luis Soto-Hernández |
author_sort | Carlos Fernando Nicolas-Cruz |
collection | DOAJ |
description | Cryptococcosis usually presents in immunocompromised patients, especially HIV infection, Immunocompetent patients may occasionally present with cerebral cryptococomas, which may be difficult to distinguish from other lesions like primary tumors or metastasis. We present one case that represents this diagnosis challenge. The first orientation for the correct diagnosis was found in the lumbar puncture with inflammatory CSF, presence of yeasts and a positive culture for Crypptococcus gatti. Subsequently, a brain biopsy confirmed the nature of the lesion.Cryptococcosis should be considered in differential diagnosis of tumors in the central nervous system in immunocompetent patients. and opportune assessment impact in the early treatment and can modify the outcomes of these patients. |
first_indexed | 2024-04-11T07:19:24Z |
format | Article |
id | doaj.art-f89e984b80ae4910a6f013a6702f94cd |
institution | Directory Open Access Journal |
issn | 2214-7519 |
language | English |
last_indexed | 2024-04-11T07:19:24Z |
publishDate | 2023-03-01 |
publisher | Elsevier |
record_format | Article |
series | Interdisciplinary Neurosurgery |
spelling | doaj.art-f89e984b80ae4910a6f013a6702f94cd2022-12-22T04:37:49ZengElsevierInterdisciplinary Neurosurgery2214-75192023-03-0131101688Cryptococcoma mimicking a brain tumor in an immunocompetent patient: A case and illustrative reportCarlos Fernando Nicolas-Cruz0Michael Ariza-Varon1Michel Gustavo Mondragón-Soto2Ariadna Suarez-Venegas3Rodolfo Villalobos-Diaz4Ricardo Marian-Magaña5Sergio Moreno-Jiménez6José Luis Soto-Hernández7Neurosurgery Resident, National Institute of Neurology and Neurosurgery Manuel Velasco Suarez, México City, Mexico; Corresponding author at: Department of Neurosurgery, National Institute of Neurology and Neurosurgery “Manuel Velasco Suárez”, Av. Insurgentes # 3877, La Fama 14269, Mexico.Neurology Resident, Colombia National University, Bogotá, ColombiaNeurosurgery Resident, National Institute of Neurology and Neurosurgery Manuel Velasco Suarez, México City, MexicoNeurosurgery Resident, National Institute of Neurology and Neurosurgery Manuel Velasco Suarez, México City, MexicoNeurosurgery Resident, National Institute of Neurology and Neurosurgery Manuel Velasco Suarez, México City, MexicoNeurosurgery Resident, National Institute of Neurology and Neurosurgery Manuel Velasco Suarez, México City, MexicoNeurosurgery Program Director, National Institute of Neurology and Neurosurgery Manuel Velasco Suarez, México City, MexicoNeuro-infectiology Program Director, National Institute of Neurology and Neurosurgery Manuel Velasco Suarez, México City, MexicoCryptococcosis usually presents in immunocompromised patients, especially HIV infection, Immunocompetent patients may occasionally present with cerebral cryptococomas, which may be difficult to distinguish from other lesions like primary tumors or metastasis. We present one case that represents this diagnosis challenge. The first orientation for the correct diagnosis was found in the lumbar puncture with inflammatory CSF, presence of yeasts and a positive culture for Crypptococcus gatti. Subsequently, a brain biopsy confirmed the nature of the lesion.Cryptococcosis should be considered in differential diagnosis of tumors in the central nervous system in immunocompetent patients. and opportune assessment impact in the early treatment and can modify the outcomes of these patients.http://www.sciencedirect.com/science/article/pii/S221475192200202XCryptococcosisBrain neoplasmsImmunocompetenceCentral nervous systemFungal infections |
spellingShingle | Carlos Fernando Nicolas-Cruz Michael Ariza-Varon Michel Gustavo Mondragón-Soto Ariadna Suarez-Venegas Rodolfo Villalobos-Diaz Ricardo Marian-Magaña Sergio Moreno-Jiménez José Luis Soto-Hernández Cryptococcoma mimicking a brain tumor in an immunocompetent patient: A case and illustrative report Interdisciplinary Neurosurgery Cryptococcosis Brain neoplasms Immunocompetence Central nervous system Fungal infections |
title | Cryptococcoma mimicking a brain tumor in an immunocompetent patient: A case and illustrative report |
title_full | Cryptococcoma mimicking a brain tumor in an immunocompetent patient: A case and illustrative report |
title_fullStr | Cryptococcoma mimicking a brain tumor in an immunocompetent patient: A case and illustrative report |
title_full_unstemmed | Cryptococcoma mimicking a brain tumor in an immunocompetent patient: A case and illustrative report |
title_short | Cryptococcoma mimicking a brain tumor in an immunocompetent patient: A case and illustrative report |
title_sort | cryptococcoma mimicking a brain tumor in an immunocompetent patient a case and illustrative report |
topic | Cryptococcosis Brain neoplasms Immunocompetence Central nervous system Fungal infections |
url | http://www.sciencedirect.com/science/article/pii/S221475192200202X |
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