Cryptococcoma unresponsive to antifungal treatment in a 63-year-old non-HIV-infected male

Acta Clin Belg. 2006 Nov-Dec;61(6):359-62. doi: 10.1179/acb.2006.057.

Abstract

Cryptococcosis is an invasive fungal infection mainly due to Cryptococcus neoformans which has become increasingly prevalent in immunocompromised patients. The majority of patients with disseminated infection are immunocompromised due to AIDS, prolonged treatment with corticosteroids, organ transplantation, or malignancy. Invasive cryptococcal infection is rare in healthy immunocompetent individuals. We present a case of cerebral cryptococcoma in a previously healthy individual with development of meningitis and multiple intracerebral lesions in spite of persistently negative cultures and refractory to conventional antifungal therapy. The diagnosis was confirmed by two independent anatomopathological examinations.

Publication types

  • Case Reports

MeSH terms

  • AIDS-Related Opportunistic Infections / drug therapy*
  • AIDS-Related Opportunistic Infections / pathology
  • Brain Diseases / diagnosis
  • Brain Diseases / drug therapy*
  • Brain Diseases / microbiology*
  • Brain Neoplasms / microbiology
  • Brain Neoplasms / pathology
  • Cryptococcosis / drug therapy*
  • Cryptococcosis / pathology
  • Fatal Outcome
  • Humans
  • Male
  • Middle Aged
  • Treatment Failure