Cryptococcal Meningoencephalitis 10 Years After Bone Marrow Transplant in a Patient With Multiple Myeloma

Division

West Florida

Hospital

Medical Center of Trinity

Document Type

Case Report

Publication Date

12-15-2020

Keywords

cryptococcus, cryptococcal meningoencephalitis, encephalitis, meningoencephalitis

Disciplines

Bacterial Infections and Mycoses | Infectious Disease | Internal Medicine | Neurology

Abstract

Cryptococcosis is a fungal infection that mostly affects immunocompromised patients. Diagnosis is based on the detection of cryptococcal antigen in the cerebrospinal fluid (CSF) or serum. Antifungal resistance is emerging, making treatment difficult and long. We report a case of cryptococcosis in a patient with multiple myeloma, years after undergoing a bone marrow transplant. Symptoms were mild, and imaging studies were nonspecific. CSF analysis revealed positive cryptococcal antigen. The patient was started on the standard three-phase antifungal therapy and recovered.

Publisher or Conference

Cureus

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