Quality of life of HIV-negative, previously healthy individuals following cryptococcal meningoencephalitis

Sci Rep. 2021 Feb 11;11(1):3673. doi: 10.1038/s41598-021-83176-2.

Abstract

The morbidity and mortality of cryptococcal meningoencephalitis (CM) in previously healthy, HIV-negative individuals is increasingly recognized. We administered a healthcare associated quality of life (QOL) survey to the largest longitudinally followed cohort of these patients in the United States. We identified moderate or severe self-reported impairment in at least one QOL domain in 61% of subjects at least one year following diagnosis. Self-reported cognitive impairment was noted in 52% and sleep disturbance was noted in 55%. This is the first comprehensive study of cross-sectional long-term QOL in previously healthy patients following cryptococcal infection.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Cohort Studies
  • Cryptococcus neoformans / pathogenicity*
  • Female
  • HIV / pathogenicity*
  • HIV Infections / complications
  • HIV Infections / epidemiology*
  • HIV Infections / virology
  • Health Status
  • Humans
  • Male
  • Meningitis, Cryptococcal / epidemiology*
  • Meningitis, Cryptococcal / ethnology
  • Meningitis, Cryptococcal / microbiology
  • Meningitis, Cryptococcal / virology
  • Middle Aged
  • Quality of Life