Cryptococcal Meningitis Disguised As A Stroke: A Case Report

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Published: Sep 30, 2022
DOI: https://doi.org/10.47836/mjmhs18.5.32
Keywords:
Meningitis, Cryptococcal, Stroke, Diagnosis, Differential

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Fatimahtuz Zahrah Muhamad Damanhuri
Siti Zulaikha Zakariah
Fatimatulzahra Abdul GhanI

Abstract




We present a case of cryptococcal meningitis initially misdiagnosed as stroke. Our patient is a young man on long- term corticosteroid due to gouty arthritis, who presented with acute onset of left-sided body weakness. Computed tomography of the brain revealed multifocal chronic lacunar infarcts with acute communicating hydrocephalus and cerebrospinal fluid culture isolated Cryptococcus neoformans. He was subsequently treated with amphotericin B and fluconazole but passed away due to multiorgan failure. This case report highlights the importance of considering chronic meningitis as a differential diagnosis when encountering stroke in young and immunocompromised patients.




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How to Cite
Muhamad Damanhuri, F. Z., Zakariah, S. Z., & Abdul GhanI, F. (2022). Cryptococcal Meningitis Disguised As A Stroke: A Case Report. Malaysian Journal of Medicine and Health Sciences, 18(5), 225–227. https://doi.org/10.47836/mjmhs18.5.32
Issue
Vol. 18 No. 5 (2022)
Section
Case Report
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