Cryptococcemia and pontine infarct: A rare association

Research output: Contribution to journalArticle

Abstract

Objective: To report a case of cryptococcemia presenting with a pontine infarct. Materials and method: Case report. Results: A 34-year-old gentleman with no known medical illness who presented with fever, left sided hemiparesis and multiple right sided cranial nerve palsies. CT brain revealed a right pontine infarct. The patient passed away within 48 hours of admission. After his death, his HIV test came back positive and blood cultures grew Cryptococcus neoformans. This is the first case report of cryptococcemia presenting as a brainstem infarct. Conclusion: Cryptococcemia is a rare cause of brainstem infarct and should be considered as a differential diagnosis especially in young stroke patients without vascular risk factors.

Original languageEnglish
Pages (from-to)433-434
Number of pages2
JournalInternational Medical Journal
Volume22
Issue number5
Publication statusPublished - 2015

Fingerprint

Brain Stem
Cranial Nerve Diseases
Cryptococcus neoformans
Paresis
Differential Diagnosis
Fever
Stroke
HIV
Brain
vascular factor
Blood Culture

ASJC Scopus subject areas

  • Medicine(all)

Cite this

@article{0d5ab2b2049b42b389e40d738b6758e3,
title = "Cryptococcemia and pontine infarct: A rare association",
abstract = "Objective: To report a case of cryptococcemia presenting with a pontine infarct. Materials and method: Case report. Results: A 34-year-old gentleman with no known medical illness who presented with fever, left sided hemiparesis and multiple right sided cranial nerve palsies. CT brain revealed a right pontine infarct. The patient passed away within 48 hours of admission. After his death, his HIV test came back positive and blood cultures grew Cryptococcus neoformans. This is the first case report of cryptococcemia presenting as a brainstem infarct. Conclusion: Cryptococcemia is a rare cause of brainstem infarct and should be considered as a differential diagnosis especially in young stroke patients without vascular risk factors.",
author = "Sakthiswary Rajalingham and {Awg. Jalil}, Nordiah and Osman, {Syazarina Sharis}",
year = "2015",
language = "English",
volume = "22",
pages = "433--434",
journal = "International Medical Journal",
issn = "1341-2051",
publisher = "Japan International Cultural Exchange Foundation",
number = "5",

}

TY - JOUR

T1 - Cryptococcemia and pontine infarct

T2 - A rare association

AU - Rajalingham, Sakthiswary

AU - Awg. Jalil, Nordiah

AU - Osman, Syazarina Sharis

PY - 2015

Y1 - 2015

N2 - Objective: To report a case of cryptococcemia presenting with a pontine infarct. Materials and method: Case report. Results: A 34-year-old gentleman with no known medical illness who presented with fever, left sided hemiparesis and multiple right sided cranial nerve palsies. CT brain revealed a right pontine infarct. The patient passed away within 48 hours of admission. After his death, his HIV test came back positive and blood cultures grew Cryptococcus neoformans. This is the first case report of cryptococcemia presenting as a brainstem infarct. Conclusion: Cryptococcemia is a rare cause of brainstem infarct and should be considered as a differential diagnosis especially in young stroke patients without vascular risk factors.

AB - Objective: To report a case of cryptococcemia presenting with a pontine infarct. Materials and method: Case report. Results: A 34-year-old gentleman with no known medical illness who presented with fever, left sided hemiparesis and multiple right sided cranial nerve palsies. CT brain revealed a right pontine infarct. The patient passed away within 48 hours of admission. After his death, his HIV test came back positive and blood cultures grew Cryptococcus neoformans. This is the first case report of cryptococcemia presenting as a brainstem infarct. Conclusion: Cryptococcemia is a rare cause of brainstem infarct and should be considered as a differential diagnosis especially in young stroke patients without vascular risk factors.

UR - http://www.scopus.com/inward/record.url?scp=84949489551&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84949489551&partnerID=8YFLogxK

M3 - Article

AN - SCOPUS:84949489551

VL - 22

SP - 433

EP - 434

JO - International Medical Journal

JF - International Medical Journal

SN - 1341-2051

IS - 5

ER -