Case Report
Cryptococcal Meningitis in a Patient with Idiopathic CD4 Lymphocytopenia
| Shannon Terrell1, Joseph R Shiber2*, Stuart Glassner3 and Beranton Whisenant4 | |
| 1Neuroscience ICU, UF Health Jacksonville, Jacksonville, USA | |
| 2Emergency Medicine and Surgical Critical Care, University of FL College of Medicine, Jacksonville, USA | |
| 3Neurology and Neurocritical Care, University of FL College of Medicine, Jacksonville, USA | |
| 4Emergency Medicine and Neurocritical Care, University of FL College of Medicine, Jacksonville, USA | |
| Corresponding Author : | Joseph R Shiber Associate Professor of Medicine Emergency Medicine and Surgical Critical Care University of FL College of Medicine – Jacksonville Jacksonville, FL 32209, USA Tel: +1 904-244-3486 E-mail: shiberj@bellsouth.net |
| Received: July 08, 2015 Accepted: July 18, 2015 Published: July 23, 2015 | |
| Citation: Terrell S, Shiber JR, Glassner S, Whisenant B (2015) Cryptococcal Meningitis in a Patient with Idiopathic CD4 Lymphocytopenia. J Neuroinfect Dis 6:186. doi:10.4172/2314-7326.1000186 | |
| Copyright: © 2015 Terrell S, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. | |
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Abstract
A 49 year-old man with a past medical history of hypertension and tobacco use presented to the emergency department after being found by family with altered mental status. Over the previous few months he had experienced progressive fatigue and slurred speech. More recently over a period of days he had experienced flu-like illness with upper respiratory infection, nausea, vomiting and diarrhea with subjective hearing loss. He was subsequently diagnosed with Cryptococcus neoformans meningitis with fungemia due to idiopathic CD4 lymphocytopenia.
