Cryptococcal meningitis presenting as sinusitis in a renal transplant recipient. Issue 5 (27th August 2013)

• Record Type: Journal Article
• Authors: Iyer, S.P.; Movva, K.; Wiebel, M.; Chandrasekar, P.; Alangaden, G.; Carron, M.; Tranchida, P.; Revankar, S.G.
• Is Part Of: Transplant infectious disease. Volume 15:Issue 5(2013)
• Page Start: E187
• Page End: E190
• Publication Date: 2013-08-27
• Subjects: Transplantation of organs, tissues, etc -- Complications -- Periodicals; Communicable diseases -- Periodicals; Infection -- Periodicals; 617.01
• DOI: 10.1111/tid.12128
• Languages: English
• ISSNs: 1398-2273

Abstract

<abstract abstract-type="main" id="tid12128-abs-0001"> <title>Abstract</title> <p>Cryptococcal meningitis is a relatively common invasive fungal infection in immunocompromised patients, especially in solid organ transplant recipients. Clinical presentation typically includes fever, headache, photophobia, neck stiffness, and/or altered mental status. Unusual presentations may delay diagnosis. Therapy is challenging in renal transplant patients because of the nephrotoxicity associated with amphotericin B, the recommended treatment. We present a case of cryptococcal meningitis in a renal transplant recipient presenting as acute sinusitis with successful treatment using fluconazole as primary therapy.</p> </abstract>