[Meningitis caused by Candida albicans in a male patient infected by HIV and failure of treatment with amphotericin B] NLM AIDSLINE Important note: Information in this article was accurate in 1992. The state of the art may have changed since the publication date.

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[Meningitis caused by Candida albicans in a male patient infected by HIV and failure of treatment with amphotericin B]

Neurologia. 1991 Oct;6(8):295-8. Unique Identifier : AIDSLINE MED/92162346
Salavert M; Carrasco R; Roig P; Nieto A; Cervello A; Navarro V; Servicio de Medicina Interna, Hospital Mutua de Terrassa.


Abstract: We report a case of Candida albicans meningitis in a male with human immunodeficiency virus (HIV) infection. This finding has seldom been reported, both in this group of patients and in those with other causes of immunosuppression or other underlying diseases. We discuss the clinical presentation and the features of cerebrospinal fluid, which showed only a mild inflammatory reaction as found in other fungal meningitis (basically cryptococcal) in AIDS patients. Finally, we emphasize the ineffectiveness of amphotericin therapy to achieve a complete microbiological cure and to prevent the relapse of meningitis in this patient. We also stress the need to make an early diagnosis in cases of fungal meningitis in patients with VIH infection, so that appropriate therapy is begun as soon as possible.
Keywords: Acquired Immunodeficiency Syndrome/*COMPLICATIONS Adult Amphotericin B/THERAPEUTIC USE Candidiasis/CEREBROSPINAL FLUID/*COMPLICATIONS/DRUG THERAPY Case Report Drug Therapy, Combination English Abstract Flucytosine/THERAPEUTIC USE Human Immunocompromised Host Ketoconazole/THERAPEUTIC USE Male Meningitis, Fungal/CEREBROSPINAL FLUID/COMPLICATIONS/DRUG THERAPY/ *MICROBIOLOGY JOURNAL ARTICLEKWDacquiredimmunodeficiencysyndrome/KWDcomplicationsadultamphotericinb/therapeuticusecandidiasis/cerebrospinalfluid/KWDcomplications/drugtherapycasereportdrugtherapy,combinationenglishabstractflucytosine/therapeuticusehumanimmunocompromisedhostketoconazole/therapeuticusemalemeningitis,fungal/cerebrospinalfluid/complications/drugtherapy/KWDmicrobiologyjournalarticle
920630
M9260989

Copyright © 1992 - National Library of Medicine. Reproduced under license with the National Library of Medicine, Bethesda, MD.

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