A 28 Years Old Woman with Severe Headache and Few Episodes of Vomiting: A Case Report
Ahmad Reza Nakhayi, Tasnim Eghbal Eftekhaari, Hossein Montazerghaem, Seyedhamid Moosavy and Abdoulhossain Madani
DOI : 10.3844/ajidsp.2010.107.109
American Journal of Infectious Diseases
Volume 6, Issue 4
Problem statement: Cryptococcosis neoformans is commonest central nervous system infection in individuals infected with HIV. Most of the patients infected with Cryptococcus neoformans present with headache and visual changes. Approach: A 28 year old woman presented to Emergency Department (ED) with a chief complaint of headache, fever and vomiting and developed seizures during the first hour of admission. Firstly, diagnosed as cryptococcal meningitis, then, because of having a low White Blood Cell count (WBC) and low Total Lymphocyte Count (TLC) she was checked for HIV Ab and P24 Ag. Results: A diagnosis of HIV was made then her family members were checked for HIV and they were also HIV positive. Patient was discharged with a two month course of Fluconazole and after completion of antifungal treatment, Antiretroviral Treatment (HAART) was started. Conclusion: This case indicated that Cryptococcosis neoformans may develop in Immune-deficient patients, so complete laboratory workup and high index of suspicion to HIV should be under diagnosis.
© 2010 Ahmad Reza Nakhayi, Tasnim Eghbal Eftekhaari, Hossein Montazerghaem, Seyedhamid Moosavy and Abdoulhossain Madani. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.