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...
| 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 |
| _version_ | 1825938445943439360 |
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| author | Muhamad Damanhuri, Fatimahtuz Zahrah Zakariah, Siti Zulaikha Abdul Ghani, Fatimatulzahra |
| author_facet | Muhamad Damanhuri, Fatimahtuz Zahrah Zakariah, Siti Zulaikha Abdul Ghani, Fatimatulzahra |
| author_sort | Muhamad Damanhuri, Fatimahtuz Zahrah |
| collection | UPM |
| description | 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. |
| first_indexed | 2024-03-06T11:13:59Z |
| format | Article |
| id | upm.eprints-100847 |
| institution | Universiti Putra Malaysia |
| language | English |
| last_indexed | 2024-03-06T11:13:59Z |
| publishDate | 2022 |
| publisher | UPM Press |
| record_format | dspace |
| spelling | upm.eprints-1008472023-08-16T08:52:21Z http://psasir.upm.edu.my/id/eprint/100847/ Cryptococcal meningitis disguised as a stroke: a case report Muhamad Damanhuri, Fatimahtuz Zahrah Zakariah, Siti Zulaikha Abdul Ghani, Fatimatulzahra 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. UPM Press 2022-09 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/100847/1/Cryptococcal%20meningitis%20disguised%20as%20a%20stroke.pdf Muhamad Damanhuri, Fatimahtuz Zahrah and Zakariah, Siti Zulaikha and Abdul Ghani, Fatimatulzahra (2022) Cryptococcal meningitis disguised as a stroke: a case report. Malaysian Journal of Medicine and Health Sciences, 18 (5). art. no. 31. 225 - 227. ISSN 2636-9346 https://medic.upm.edu.my/jurnal_kami/volume_18_2022/mjmhs_vol18_no_5_september_2022-68867 10.47836/mjmhs18.5.32 |
| spellingShingle | Muhamad Damanhuri, Fatimahtuz Zahrah Zakariah, Siti Zulaikha Abdul Ghani, Fatimatulzahra Cryptococcal meningitis disguised as a stroke: a case report |
| title | Cryptococcal meningitis disguised as a stroke: a case report |
| title_full | Cryptococcal meningitis disguised as a stroke: a case report |
| title_fullStr | Cryptococcal meningitis disguised as a stroke: a case report |
| title_full_unstemmed | Cryptococcal meningitis disguised as a stroke: a case report |
| title_short | Cryptococcal meningitis disguised as a stroke: a case report |
| title_sort | cryptococcal meningitis disguised as a stroke a case report |
| url | http://psasir.upm.edu.my/id/eprint/100847/1/Cryptococcal%20meningitis%20disguised%20as%20a%20stroke.pdf |
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