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Please use this identifier to cite or link to this item: http://repository.li.mahidol.ac.th/dspace/handle/123456789/46777
Title: Brainstem dysfunction heralding disseminated cryptococcosis
Authors: Prachaya Srivanitchapoom
Yuvadee Pitakpatapee
Panitta Sitthinamsuwan
Sith Sathornsumetee
Faculty of Medicine, Siriraj Hospital, Mahidol University
Keywords: Medicine
Issue Date: 1-Apr-2018
Citation: Clinical Neurology and Neurosurgery. Vol.167, (2018), 62-64
Abstract: © 2018 Elsevier B.V. Cryptococcal meningoencephalitis is one of the most common central nervous system infections affecting immunocompromised patients. However, brainstem involvement is extremely rare and may represent a diagnostic challenge to clinicians. We report a non-HIV infected, chronically immunosuppressed, patient with fatal disseminated cryptococcosis presented with subcutaneous masses at both thighs and progressive brainstem dysfunction. Magnetic resonance imaging demonstrated multiple brainstem infarcts likely derived from small vessel vasculopathy. Anti-fungal treatment led to partial neurologic improvement but the patient succumbed to a fatal sepsis from hospital-acquired pneumonia.
URI: https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85042073880&origin=inward
http://repository.li.mahidol.ac.th/dspace/handle/123456789/46777
ISSN: 18726968
03038467
Appears in Collections:Scopus 2018

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