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Revista Virtual de la Sociedad Paraguaya de Medicina Interna
On-line version ISSN 2312-3893
Abstract
CODAS, Manuel et al. Refractory cryptococcal meningoencephalitis in a young woman. Rev. virtual Soc. Parag. Med. Int. [online]. 2018, vol.5, n.2, pp.100-104. Epub Sep 01, 2018. ISSN 2312-3893. https://doi.org/10.18004/rvspmi/2312-3893/2018.05(02)100-104.
A 23-year-old woman has been presenting headache for two months that is accompanied by blurred vision, dysarthria and loss of consciousness. Cerebrospinal fluid confirms meningitis to Cryptococcus. In spite of the treatment with amphotericin B and fluconazole she presents a general deterioration. During her evolution she presented pulmonary paracoccidiomycosis and vaginal candidiasis. Despite specific therapy, the patient dies with the late confirmation of a common variable immunodeficiency.
Keywords : meningoencephalitis; cryptococcal meningitis; paracoccidioidomycosis; common variable immunodeficiency; vulvovaginal candidiasis.