Citation
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
Abstract
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.
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Additional Metadata
| Item Type: | Article |
|---|---|
| Divisions: | Faculty of Medicine and Health Science Hospital Sultan Abdul Aziz Shah (UPM) |
| DOI Number: | https://doi.org/10.47836/mjmhs18.5.32 |
| Publisher: | UPM Press |
| Keywords: | Meningitis; Cryptococcal; Stroke; Diagnosis; Differential |
| Depositing User: | Ms. Nur Faseha Mohd Kadim |
| Date Deposited: | 16 Aug 2023 08:52 |
| Last Modified: | 16 Aug 2023 08:52 |
| Altmetrics: | http://www.altmetric.com/details.php?domain=psasir.upm.edu.my&doi=10.47836/mjmhs18.5.32 |
| URI: | http://psasir.upm.edu.my/id/eprint/100847 |
| Statistic Details: | View Download Statistic |
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